| Jennifer A Lisowe, MD | |
|
5067 55th St Nw, Rochester, MN 55901-3809 | |
| (507) 288-3443 | |
| (507) 529-6622 |
| Full Name | Jennifer A Lisowe |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 28 Years |
| Location | 5067 55th St Nw, Rochester, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275593923 | NPI | - | NPPES |
| 685224600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 41670 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Olmsted Medical Center | Rochester, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Olmsted Medical Center | 8527970060 | 304 |
| Entity Name | Olmsted Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952356297 PECOS PAC ID: 8527970060 Enrollment ID: O20031119000240 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer A Lisowe, MD 5067 55th St Nw, Rochester, MN 55901-3809 Ph: (507) 288-3443 | Jennifer A Lisowe, MD 5067 55th St Nw, Rochester, MN 55901-3809 Ph: (507) 288-3443 |
Anne Lillian King, MD Dermatology Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Scott Tuttle, Dermatology Medicare: May Accept Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Rewan Mohamed Abdelwahab, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Emma Fell Johnson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Dawn Marie R Davis, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Bruin Pollard, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Michelle Colbert, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |