| Lisa Lynette Hostetler, MD, PHD | |
|
500 Evergreen Drive, Suite 20, Glen Mills, PA 19342 | |
| (484) 785-3376 | |
| (610) 544-8655 |
| Full Name | Lisa Lynette Hostetler |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Location | 500 Evergreen Drive, Glen Mills, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780760835 | NPI | - | NPPES |
| 469367 | Other | PA | AETNA |
| 0233208000 | Other | PA | IBC |
| 421165 | Other | PA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | MD047581L (Pennsylvania) | Primary |
| Entity Name | Associates In Medical And Cosmetic Dermatology, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477639425 PECOS PAC ID: 4385624931 Enrollment ID: O20040723000240 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Lynette Hostetler, MD, PHD 500 Evergreen Dr, Suite 20, Glen Mills, PA 19342-1032 Ph: (484) 785-3376 | Lisa Lynette Hostetler, MD, PHD 500 Evergreen Drive, Suite 20, Glen Mills, PA 19342 Ph: (484) 785-3376 |
Dr. Sarah E Tonelli, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 500 Evergreen Dr Ste 20, Glen Mills, PA 19342 Phone: 484-785-3376 Fax: 610-358-6913 | |
Kari Boucher, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 500 Evergreen Dr, Suite 20, Glen Mills, PA 19342 Phone: 484-785-3376 Fax: 610-358-6913 | |
Dr. Lisa A Carroll, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 25 Lenfant Ct, Glen Mills, PA 19342 Phone: 610-500-9036 | |
Morgan Stomel, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 500 Evergreen Dr Ste 20, Glen Mills, PA 19342 Phone: 484-785-3376 | |
Robin Beth Scheiner, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 500 Evergreen Dr, Suite 20, Glen Mills, PA 19342 Phone: 484-785-3376 Fax: 610-358-6913 |