| Dr Mark A Liska, MD | |
|
37 Edgerton Drive, Ste 1, North Falmouth, MA 02556 | |
| (508) 563-2550 | |
| (508) 563-2570 |
| Full Name | Dr Mark A Liska |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 37 Edgerton Drive, North Falmouth, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538191846 | NPI | - | NPPES |
| 725035 | Other | MA | TUFTS |
| 4190 | Other | MA | HARVARD PILGRIM |
| 3095479 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 75627 (Massachusetts) | Secondary |
| 207N00000X | Dermatology | 75627 (Massachusetts) | Primary |
| Entity Name | Northeast Dermatology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104921162 PECOS PAC ID: 3072403799 Enrollment ID: O20040317000655 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark A Liska, MD 37 Edgerton Drive, Ste 1, North Falmouth, MA 02556 Ph: (508) 563-2550 | Dr Mark A Liska, MD 37 Edgerton Drive, Ste 1, North Falmouth, MA 02556 Ph: (508) 563-2550 |
Dr. Kavitha Reddy, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 37 Edgerton Dr Ste 1, North Falmouth, MA 02556 Phone: 508-563-2550 Fax: 508-563-2570 | |
Nancy K Barnett, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 37 Edgerton Dr, Ste 1, North Falmouth, MA 02556 Phone: 508-563-2550 Fax: 508-563-2570 |