| Liezl G Irisari, MD | |
|
11107 Racetrack Rd, Berlin, MD 21811-3279 | |
| (410) 208-9761 | |
| (410) 208-9764 |
| Full Name | Liezl G Irisari |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 23 Years |
| Location | 11107 Racetrack Rd, Berlin, Maryland |
| 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 |
|---|---|---|---|
| 1851327001 | NPI | - | NPPES |
| 110076111A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2088F0040X | Urology - Female Pelvic Medicine And Reconstructive Surgery | 230999 (Massachusetts) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 230999 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Berkshire Medical Center | Pittsfield, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Berkshire Faculty Services Inc | 8224068424 | 239 |
| Entity Name | Henry Heywood Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205823879 PECOS PAC ID: 1658262605 Enrollment ID: O20040322000360 |
| Entity Name | Heywood Medical Group Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699762286 PECOS PAC ID: 6901882836 Enrollment ID: O20040629001351 |
| Entity Name | Athol Memorial Hospital Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336120047 PECOS PAC ID: 7911959846 Enrollment ID: O20050218000228 |
| Entity Name | Berkshire Faculty Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548212939 PECOS PAC ID: 8224068424 Enrollment ID: O20050817001122 |
| Mailing Address | Practice Location Address |
|---|---|
| Liezl G Irisari, MD 10026 Old Ocean City Blvd, Building #1, Berlin, MD 21811-1288 Ph: (410) 641-9450 | Liezl G Irisari, MD 11107 Racetrack Rd, Berlin, MD 21811-3279 Ph: (410) 208-9761 |
Ms. Christine Neto, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1107 Racetrack Road, Berlin, MD 21811 Phone: 410-208-9761 Fax: 410-208-9764 | |
Richard L Kirby, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 10231 Old Ocean City Blvd, Suite 210, Berlin, MD 21811 Phone: 410-629-6870 Fax: 410-629-6541 |