Dr Lisa Diane Fairweather, DO is a
Psychiatry & Neurology - Psychiatry physician based in Ft. Worth, Texas. Dr Lisa Diane Fairweather is licensed to practice in Texas (license number L6256) and her current practice location is 5601 Bridge St., #324, Ft. Worth, Texas. She can be reached at her office (for appointments etc.) via phone at
(817) 457-4646.
NPI number for Dr Lisa Diane Fairweather is 1720031404 and her current mailing address is 5601 Bridge St., #324, Ft. Worth, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720031404.
Physician's Profile
| Full Name | Dr Lisa Diane Fairweather |
|---|
| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 5601 Bridge St., Ft. Worth, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720031404
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 10/14/2010
Medical Identifiers
Medical identifiers for Dr Lisa Diane Fairweather such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720031404 | NPI | - | NPPES |
| 175470702 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | L6256 (Texas) | 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. Dr Lisa Diane Fairweather is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Lisa Diane Fairweather, DO
5601 Bridge St., #324,
Ft. Worth, TX 76112
Ph: (817) 457-4646 | Dr Lisa Diane Fairweather, DO
5601 Bridge St., #324,
Ft. Worth, TX 76112
Ph: (817) 457-4646 |
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