| Alisa Fishkin, | |
|
14 N 3rd St, Bradford, PA 16701-3335 | |
| (814) 362-6962 | |
| Not Available |
| Full Name | Alisa Fishkin |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 14 N 3rd St, Bradford, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205653276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | SP030108 (Pennsylvania) | Primary |
| Entity Name | Bradford Family Medicine Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245272525 PECOS PAC ID: 8022901982 Enrollment ID: O20040204000763 |
| Mailing Address | Practice Location Address |
|---|---|
| Alisa Fishkin, 40 Edgewood Rd, Bradford, PA 16701-2713 Ph: (814) 331-0520 | Alisa Fishkin, 14 N 3rd St, Bradford, PA 16701-3335 Ph: (814) 362-6962 |
Dilbagh Singh, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6 North Center Street, Bradford, PA 16701 Phone: 814-368-7000 Fax: 814-362-6243 | |
Dr. Jill M. Owens, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14 N 3rd St, Bradford, PA 16701 Phone: 814-362-6962 Fax: 814-362-4956 | |
Venkateswara Rao Nadella, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6 North Center Street, Bradford, PA 16701 Phone: 814-368-7000 Fax: 814-362-6243 | |
Lakshmi Rao Polavarapu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 116 Interstate Pkwy, Bradford, PA 16701 Phone: 814-363-9484 | |
Kylie L Morris, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 E Main St # 320b, Bradford, PA 16701 Phone: 814-368-1000 Fax: 814-368-1008 | |
Dr. Banafsheh Lotfi Moghaddas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24 W Washington St, Bradford, PA 16701 Phone: 814-368-1000 Fax: 814-368-1008 |