Lisa Summerlin, PMHNP-BC is a
Clinical Nurse Specialist - Psychiatric/mental Health, Adult based in Fallston, Maryland. Lisa Summerlin is licensed to practice in Maryland (license number R191100) and her current practice location is
1814 Bel Air Rd Ste 300, Fallston, Maryland. She can be reached at her office (for appointments etc.) via phone at
(443) 996-5870.
NPI number for Lisa Summerlin is 1083042519 and her current mailing address is Po Box 372, Hampstead, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083042519.
Provider's Profile
Full Name | Lisa Summerlin |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
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Location | 1814 Bel Air Rd Ste 300, Fallston, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083042519
- Provider Enumeration Date: 10/18/2013
- Last Update Date: 06/04/2024
Medical Identifiers
Medical identifiers for Lisa Summerlin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083042519 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | R191100 (Maryland) | Secondary |
364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | R191100 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Summerlin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa Summerlin, PMHNP-BC Po Box 372, Hampstead, MD 21074-0372 Ph: () - | Lisa Summerlin, PMHNP-BC 1814 Bel Air Rd Ste 300, Fallston, MD 21047-2730 Ph: (443) 996-5870 |
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