Lisa M Wiltrout, MD in La Plata, MD

Lisa M Wiltrout, MD is a Pediatrics physician based in La Plata, Maryland. Lisa M Wiltrout is licensed to practice in Maryland (license number D0057484) and her current practice location is 5 Garrett Ave, Civista Medical Center, La Plata, Maryland. She can be reached at her office (for appointments etc.) via phone at (301) 609-4000.

NPI number for Lisa M Wiltrout is 1306813134 and her current mailing address is 701 Charles St, P.o. Box 1070, La Plata, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306813134.

Contact Information

	Lisa M Wiltrout, MD
	5 Garrett Ave, Civista Medical Center, La Plata, MD 20646-5960
	(301) 609-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Lisa M Wiltrout
Gender	Female
Speciality	Pediatrics
Location	5 Garrett Ave, La Plata, Maryland
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1306813134
Provider Enumeration Date: 03/01/2006
Last Update Date: 04/21/2011

Medical Identifiers

Medical identifiers for Lisa M Wiltrout such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306813134	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	D0057484 (Maryland)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa M Wiltrout is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lisa M Wiltrout, MD 701 Charles St, P.o. Box 1070, La Plata, MD 20646-5930 Ph: (301) 609-4000	Lisa M Wiltrout, MD 5 Garrett Ave, Civista Medical Center, La Plata, MD 20646-5960 Ph: (301) 609-4000

Reviews and Comments

Pediatrics Doctors in La Plata, MD

Dr. Eugene Suwandhi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5 Garrett Ave, La Plata, MD 20646 Phone: 301-609-4539
Daniel Tummillo, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 5 Garrett Ave, La Plata, MD 20646 Phone: 301-609-4000
Dr. James Joseph Vitek, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 East Charles Street, La Plata, MD 20646 Phone: 301-609-4000 Fax: 301-609-4311
Jennifer Blansett, CRNP Pediatrics Medicare: Medicare Enrolled Practice Location: 103 Centennial St Ste C, La Plata, MD 20646 Phone: 301-934-9111 Fax: 301-934-9111

Lisa M Wiltrout, MD - Pediatrics in La Plata, MD