| Dr Lisa Ml Parker, MD | |
|
101 Kellie Dr, Smithfield, NC 27577-9443 | |
| (919) 938-3749 | |
| (919) 938-3749 |
| Full Name | Dr Lisa Ml Parker |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 101 Kellie Dr, Smithfield, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346298973 | NPI | - | NPPES |
| 891223V | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 9901279 (North Carolina) | Primary |
| Entity Name | Bertie County Rural Health Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396886842 PECOS PAC ID: 8325949167 Enrollment ID: O20040115000718 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Ml Parker, MD 104 Rhodes Ave, Windsor, NC 27983-9656 Ph: (252) 794-3042 | Dr Lisa Ml Parker, MD 101 Kellie Dr, Smithfield, NC 27577-9443 Ph: (919) 938-3749 |
Kimberly D Fox, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1519 E Booker Dairy Rd, Smithfield, NC 27577 Phone: 919-938-2144 Fax: 919-938-2944 | |
Dr. Trella Cooper, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 517 N Brightleaf Blvd, Smithfield, NC 27577 Phone: 919-989-5200 Fax: 919-989-5208 | |
Dr. Debra J Tetreault, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Kellie Dr, Smithfield, NC 27577 Phone: 919-938-3749 Fax: 919-938-3795 | |
Dr. Sally Lawson Carpenter, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11 Berkshire Rd, Smithfield, NC 27577 Phone: 919-934-0564 Fax: 919-934-9703 |