Dr Lisa Michelle Davis, PHD, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Ellicott City, Maryland. She graduated from medical school in 1997 and has 28 years of diverse experience with area of expertise as Physician Assistant. Her current practice location is
3950 White Rose Way, Ellicott City, Maryland. You can reach out to her office (for appointments etc.) via phone at
(443) 865-5342.
Dr Lisa Michelle Davis is licensed to practice in Maryland (license number C0002863) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1629887518.
Physician's Profile
| Full Name | Dr Lisa Michelle Davis |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 28 Years |
|---|
| Location | 3950 White Rose Way, Ellicott City, Maryland |
|---|
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Lisa Michelle Davis graduated from medical school in 1997
NPI Data:
- NPI Number: 1629887518
- Provider Enumeration Date: 01/06/2025
- Last Update Date: 01/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 2668995267
- Enrollment ID: I20250325000014
Medical Identifiers
Medical identifiers for Dr Lisa Michelle Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629887518 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | C0002863 (Maryland) | Secondary |
| 363AM0700X | Physician Assistant - Medical | C0002863 (Maryland) | 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 Michelle Davis 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 |
|---|
Dr Lisa Michelle Davis, PHD, PA-C
3950 White Rose Way,
Ellicott City, MD 21042-5822
Ph: (443) 865-5342 | Dr Lisa Michelle Davis, PHD, PA-C
3950 White Rose Way,
Ellicott City, MD 21042-5822
Ph: (443) 865-5342 |
Reviews and Comments