Mrs Lisa Jo Matherson, CRNP | |
2050 Old West Chester Pike, Havertown, PA 19083-2712 | |
(610) 449-8600 | |
(610) 449-1302 |
Full Name | Mrs Lisa Jo Matherson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Gerontology |
Location | 2050 Old West Chester Pike, Havertown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922213594 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LG0600X | Nurse Practitioner - Gerontology | SPOO3533H (Pennsylvania) | Primary |
Entity Name | Geps Physician Group Of Pennsylvania Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467471615 PECOS PAC ID: 8426953597 Enrollment ID: O20031204000010 |
Entity Name | Gps Physician Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180123000502 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lisa Jo Matherson, CRNP 271 Green Hollow Rd, Glenmoore, PA 19343-1509 Ph: (610) 913-8008 | Mrs Lisa Jo Matherson, CRNP 2050 Old West Chester Pike, Havertown, PA 19083-2712 Ph: (610) 449-8600 |
Mrs. Tara Ann Bussett, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2010 W Chester Pike Ste 350, Havertown, PA 19083 Phone: 610-853-1112 Fax: 610-446-1425 | |
Lijuan Yuan, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2010 W Chester Pike Ste 448, Havertown, PA 19083 Phone: 610-853-2502 | |
Jamie Green, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 E Township Line Rd, Havertown, PA 19083 Phone: 888-985-2727 | |
Veronica Gottsch, MSN, CRNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 323 Davis Rd, Havertown, PA 19083 Phone: 610-329-0834 | |
Ashley Womack, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 W Chester Pike Ste 102a, Havertown, PA 19083 Phone: 610-446-3650 | |
Mrs. Shayne King Dougherty, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 32 Greenview Ln, Havertown, PA 19083 Phone: 610-924-9763 | |
Debra R Abraham, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 143 Colfax Rd, Havertown, PA 19083 Phone: 610-446-2817 |