| Lisa M Judge, M D | |
|
552 Twin Cities Blvd, Suite C, Niceville, FL 32578-1055 | |
| (850) 729-1414 | |
| Not Available |
| Full Name | Lisa M Judge |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 41 Years |
| Location | 552 Twin Cities Blvd, Niceville, Florida |
| 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 |
|---|---|---|---|
| 1932175973 | NPI | - | NPPES |
| P00635454 | Other | RR MEMBER PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | ME0068524 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Twin Cities Hospital | Niceville, FL | Hospital |
| Fort Walton Beach Medical Center | Fort walton beach, FL | Hospital |
| Sacred Heart Hospital On The Emerald Coast | Miramar beach, FL | Hospital |
| North Okaloosa Medical Center | Crestview, FL | Hospital |
| Entity Name | Lisa M Judge Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124220009 PECOS PAC ID: 4587717434 Enrollment ID: O20090724000664 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M Judge, M D 552 Twin Cities Blvd, Suite C, Niceville, FL 32578-1055 Ph: (850) 729-1414 | Lisa M Judge, M D 552 Twin Cities Blvd, Suite C, Niceville, FL 32578-1055 Ph: (850) 729-1414 |
Lucy K Rice, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4586 E Highway 20, Suite A, Niceville, FL 32578 Phone: 850-897-0110 Fax: 850-897-1626 | |
Ashley Knarzer, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4586 E Highway 20 Ste A, Niceville, FL 32578 Phone: 850-897-0110 Fax: 850-897-1626 | |
Kenneth Paul Mitchell, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2600 Partin Dr N Ste 110, Niceville, FL 32578 Phone: 850-517-6578 | |
Robert Clark Sledge Jr., MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4586 E Highway 20 Ste A, Niceville, FL 32578 Phone: 850-897-0110 Fax: 850-897-1626 |