David Lisan, DO is a medicare enrolled "General Practice" provider in Penn Valley, Pennsylvania. His current practice location is
913 Montgomery Ave, Penn Valley, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(610) 664-3400.
David Lisan is licensed to practice in Pennsylvania (license number OS009840L) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629148945.
Healthcare Provider's Profile
Full Name | David Lisan |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 913 Montgomery Ave, Penn Valley, Pennsylvania |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- David Lisan attended and graduated from in
NPI Data:
- NPI Number: 1629148945
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 12/12/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for David Lisan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629148945 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT007501L (Pennsylvania) | Secondary |
208D00000X | General Practice | OS7820 (Florida) | Secondary |
225100000X | Physical Therapist | DAPT001519 (Pennsylvania) | Secondary |
225100000X | Physical Therapist | PT21515 (Florida) | Secondary |
208D00000X | General Practice | OS009840L (Pennsylvania) | 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. David Lisan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
David Lisan, DO 913 Montgomery Ave, Penn Valley, PA 19072-1501 Ph: (610) 664-3400 | David Lisan, DO 913 Montgomery Ave, Penn Valley, PA 19072-1501 Ph: (610) 664-3400 |
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