| Lisa Marie Baclawski, MD | |
|
20 Arrowood Dr, Ithaca, NY 14850-1869 | |
| (607) 266-7800 | |
| Not Available |
| Full Name | Lisa Marie Baclawski |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 17 Years |
| Location | 20 Arrowood Dr, Ithaca, New York |
| 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 |
|---|---|---|---|
| 1730486945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 270056 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeastern Vermont Regional Hospital | Saint johnsbury, VT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeastern Vermont Regional Hospital Inc | 3678481405 | 108 |
| Entity Name | Northeastern Vermont Regional Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831132299 PECOS PAC ID: 3678481405 Enrollment ID: O20060324000349 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Marie Baclawski, MD 1315 Hospital Dr, St Johnsbury, VT 05819-9210 Ph: () - | Lisa Marie Baclawski, MD 20 Arrowood Dr, Ithaca, NY 14850-1869 Ph: (607) 266-7800 |
Kenneth Leon Dean Jr., D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 20 Arrowood Dr, Ithaca, NY 14850 Phone: 607-266-7800 | |
Dr. Oo Hyon Kyong, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1290 Trumansburg Rd, Ithaca, NY 14850 Phone: 607-273-4331 Fax: 607-272-0257 | |
E James Fogel Jr., M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 20 Arrowood Dr, Ithaca, NY 14850 Phone: 607-266-7800 Fax: 607-266-7811 | |
Dr. Phaelon H. Silva, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 20 Arrowwood Dr., Ithaca, NY 14850 Phone: 607-266-7800 Fax: 607-216-0093 | |
Dr. Rudolph Peter Fedrizzi, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 302 W Seneca St, Ithaca, NY 14850 Phone: 607-272-0200 Fax: 607-272-0240 | |
Dvorah Milner, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 20 Arrowood Dr, Ithaca, NY 14850 Phone: 607-266-7800 Fax: 607-266-7811 | |
Kathleen E Gardner, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 20 Arrowood Dr, Ithaca, NY 14850 Phone: 607-266-7800 Fax: 607-266-7811 |