| Lisa Mak, CRNP | |
|
3401 N Broad St, Philadelphia, PA 19140-5103 | |
| (215) 707-4000 | |
| (215) 707-5066 |
| Full Name | Lisa Mak |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 3401 N Broad St, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396396560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | SP020797 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Temple University Hospital | Philadelphia, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Temple Faculty Practice Plan Inc | 0345588711 | 1060 |
| Entity Name | Temple Faculty Practice Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Mak, CRNP 2450 W Hunting Park Ave, Philadelphia, PA 19129-1302 Ph: (215) 707-4000 | Lisa Mak, CRNP 3401 N Broad St, Philadelphia, PA 19140-5103 Ph: (215) 707-4000 |
Ms. Nicole Marie Koepke, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Emergency Med, Philadelphia, PA 19104 Phone: 215-590-1944 Fax: 215-590-4454 | |
Kathleen Ellen Kearney, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3535 Market St, Suite 100, Philadelphia, PA 19104 Phone: 215-746-3535 Fax: 215-746-1032 | |
Liza Thomas, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 Civic Center Boulevard, West Pavilion 3rd Floor, Philadelphia, PA 19104 Phone: 215-662-2891 | |
Mr. Charles E Warrington Jr., CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Walnut St Fl 7, Medical Office Building, Philadelphia, PA 19107 Phone: 215-955-2165 Fax: 215-923-7957 | |
Carley Bober, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34th Street And Civic Center Blvd, Cardiac Center At Chop, Philadelphia, PA 19104 Phone: 215-590-6051 Fax: 215-590-1340 | |
Ms. Candyce S Dorsey, CRNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1408 S Broad St, Philadelphia, PA 19146 Phone: 215-755-0700 | |
Ling Fan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 S 11th St, Gibbon Bldg., Suite 6270, Philadelphia, PA 19107 Phone: 215-955-8304 |