| Lisa Marie Spencer, MD | |
| 
					210 Ashville Ave, Cary, NC 27518-6676  | |
| (919) 235-6460 | |
| Not Available | 
| Full Name | Lisa Marie Spencer | 
|---|---|
| Gender | Female | 
| Speciality | Obstetrics & Gynecology | 
| Location | 210 Ashville Ave, Cary, North Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1790307098 | NPI | - | NPPES | 
| 1790307098 | Medicaid | NC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 4351046183 (Michigan) | Secondary | 
| 207V00000X | Obstetrics & Gynecology | 2024-01859 (North Carolina) | Primary | 
| Entity Name | Wakemed Specialists Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1588227839 PECOS PAC ID: 2466788377 Enrollment ID: O20190731000815  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lisa Marie Spencer, MD Po Box 603949, Charlotte, NC 28260-3949 Ph: (919) 350-0351  | Lisa Marie Spencer, MD 210 Ashville Ave, Cary, NC 27518-6676 Ph: (919) 235-6460  | 
Dr. Rachel Peragallo Urrutia, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7535 Carpenter Fire Station Rd, Suite 105, Cary, NC 27519 Phone: 919-230-2100 Fax: 919-230-2133  | |
Mrs. Nanda Mahendra Shah, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 519 Keisler Dr, Suite 104, Cary, NC 27511 Phone: 919-233-8183 Fax: 919-233-9771  | |
Dr. Christina Nicole Cordeiro Mitchell, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 300 Keisler Dr Ste 102, Cary, NC 27518 Phone: 984-464-2244 Fax: 984-464-3160  | |
Dr. Christina Anastasia Kunycky, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 210 Ashville Ave, Cary, NC 27518 Phone: 919-235-6509  | |
Jennifer Lynn Fraley, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 550 New Waverly Pl Ste 200, Cary, NC 27518 Phone: 919-467-5941 Fax: 919-277-2043  | |
Adam Troy Kansagor, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 210 Ashville Ave, Cary, NC 27518 Phone: 919-235-6460  | |
Dr. Ronald Gray Rogers, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 121 Edinburgh South Dr, Suite 100, Cary, NC 27511 Phone: 919-465-4455 Fax: 919-465-2211  |