| Mrs Lisa D Raderstorf, PA-C | |
|
5838 W Brick Rd, Suite 106, South Bend, IN 46628-8423 | |
| (574) 247-1911 | |
| (574) 247-1912 |
| Full Name | Mrs Lisa D Raderstorf |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 5838 W Brick Rd, South Bend, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245421031 | NPI | - | NPPES |
| 000000527324 | Other | IN | ANTHEM BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10000915A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa D Raderstorf, PA-C Po Box 1239, Troy, MI 48099-1239 Ph: (248) 824-6600 | Mrs Lisa D Raderstorf, PA-C 5838 W Brick Rd, Suite 106, South Bend, IN 46628-8423 Ph: (574) 247-1911 |
Autumn Axline, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-234-8161 | |
Sean Robert Horner, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 2102 E Inwood Rd, South Bend, IN 46614 Phone: 574-299-2411 Fax: 574-299-2410 | |
Gabriela L Taylor, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9294 | |
Ms. Cami Jo Kistenfeger, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 745-247-9442 | |
Priya Kaur, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1245 E Ireland Rd, South Bend, IN 46614 Phone: 574-312-7022 | |
Carolyn M Barbus, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 574-247-9442 | |
Ms. Megan Kathleen Maloney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St., South Bend, IN 46617 Phone: 574-237-9294 Fax: 574-237-9259 |