| Lisa Spacek, MD | |
|
1015 Chestnut St Ste 1020, Philadelphia, PA 19107-4310 | |
| (215) 955-7785 | |
| (215) 923-9362 |
| Full Name | Lisa Spacek |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1015 Chestnut St Ste 1020, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124055058 | NPI | - | NPPES |
| 406954400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | D57907 (Maryland) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | MD433099 (Pennsylvania) | Primary |
| Entity Name | Novus Adult Care Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679931349 PECOS PAC ID: 2961706924 Enrollment ID: O20160211001415 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Spacek, MD Po Box 64264, Baltimore, MD 21264-4264 Ph: Not Available | Lisa Spacek, MD 1015 Chestnut St Ste 1020, Philadelphia, PA 19107-4310 Ph: (215) 955-7785 |
Philippe Olivier Szapary, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 3400 Civic Center Blvd, East Pavilion, 2nd Floor, Philadelphia, PA 19104 Phone: 215-615-4949 |
Dr. Jamie L. Garfield, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-5864 Fax: 215-707-6867 |
Maria Esther Escorcia De Leon, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-1622 Fax: 215-707-0943 |
Cherag Daruwala, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2301 E Allegheny Ave, Suite 190b, Philadelphia, PA 19134 Phone: 215-926-3120 Fax: 215-926-3123 |
Dr. Robert Burke, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 51 N 39th St, Philadelphia, PA 19104 Phone: 215-662-9436 Fax: 215-243-3208 |
Eva Hassan Alsheik, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 219 N Broad St, 5th Floor, Philadelphia, PA 19107 Phone: 215-762-6071 |
Dr. Jason Thomas Ackrivo, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-614-0871 |