| Dr Lisa Boyle, MD | |
|
110 Irving St Nw, Dept. Of Surgery, G247, Washington, DC 20010-2976 | |
| (202) 877-5611 | |
| Not Available |
| Full Name | Dr Lisa Boyle |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 110 Irving St Nw, Washington, District Of Columbia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063491926 | NPI | - | NPPES |
| 025567100 | Medicaid | DC | |
| 644931000 | Medicaid | DC | |
| 010176093 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD20211 (District Of Columbia) | Primary |
| Entity Name | Mgmc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891797148 PECOS PAC ID: 9537073119 Enrollment ID: O20031220000056 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Boyle, MD Po Box 418498, Boston, MA 02241-8498 Ph: (703) 558-1544 | Dr Lisa Boyle, MD 110 Irving St Nw, Dept. Of Surgery, G247, Washington, DC 20010-2976 Ph: (202) 877-5611 |
Dr. Andrea Badillo, MD Surgery Medicare: Medicare Enrolled Practice Location: 111 Michigan Ave Nw, Washington, DC 20010 Phone: 202-476-2451 Fax: 202-476-4174 | |
Dr. Steven Paul Davison, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3050 K Street Nw, Ste 170, Washington, DC 20007 Phone: 202-966-9590 Fax: 202-966-9596 | |
Jerome Alain Byam, Surgery Medicare: May Accept Medicare Assignments Practice Location: 1310 Southern Ave Se, Washington, DC 20032 Phone: 202-574-6000 | |
Dr. Steven Macht, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2021 K St Nw, #217, Washington, DC 20006 Phone: 202-887-8120 Fax: 202-887-8288 | |
Brandon Neil Glousman, Surgery Medicare: Not Enrolled in Medicare Practice Location: 110 Irving St Nw Dept Of, Washington, DC 20010 Phone: 202-877-3536 Fax: 202-877-3699 | |
Dr. Armando Retana, MD, DDS Surgery Medicare: Not Enrolled in Medicare Practice Location: 2311 M St Nw Ste 200, Washington, DC 20037 Phone: 202-386-7100 Fax: 202-386-7555 | |
Earl Hodin, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 111 Michigan Ave Nw, Washington, DC 20010 Phone: 202-884-2151 |