Lisa Bennett, MD | |
1995 E State St, Salem, OH 44460-2423 | |
(330) 332-1551 | |
Not Available |
Full Name | Lisa Bennett |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 1995 E State St, Salem, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982645412 | NPI | - | NPPES |
942460636373 | Other | OH | CARESOURCE |
P00250500 | Other | OH | MEDICARE RR-GA |
2224257 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35078924B (Ohio) | Primary |
Entity Name | Emergency Professional Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093762353 PECOS PAC ID: 7214832435 Enrollment ID: O20040511000864 |
Mailing Address | Practice Location Address |
---|---|
Lisa Bennett, MD 900 Merriman Rd, Akron, OH 44303-1750 Ph: () - | Lisa Bennett, MD 1995 E State St, Salem, OH 44460-2423 Ph: (330) 332-1551 |
Sherry Hockenberry, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1995 E State St, Salem, OH 44460 Phone: 330-332-1551 | |
Harry Bartholomew Pearce, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1995 E State St, Salem, OH 44460 Phone: 330-332-1551 | |
Adam Costarella, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1995 E State St, Salem, OH 44460 Phone: 330-332-1551 | |
Dr. Chris Kemen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1995 E State St, Salem, OH 44460 Phone: 330-332-1551 | |
John Mac Dawson, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1995 E State St, Salem, OH 44460 Phone: 330-332-1551 |