| Lisa Trevan, MD | |
|
10212 Governor Lane Blvd, Suite1004, Williamsport, MD 21795-4086 | |
| (301) 733-4200 | |
| (301) 223-7121 |
| Full Name | Lisa Trevan |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 40 Years |
| Location | 10212 Governor Lane Blvd, Williamsport, Maryland |
| 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 |
|---|---|---|---|
| 1659313831 | NPI | - | NPPES |
| 50090037 | Other | PA | CAPITAL BC |
| S417 0002 | Other | DC | CAREFIRST BCBS |
| KBC1CH | Other | MD | CAREFIRST BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD433370 (Pennsylvania) | Secondary |
| 207L00000X | Anesthesiology | D0044644 (Maryland) | Primary |
| Entity Name | North American Partners In Anesthesia Maryland Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093707879 PECOS PAC ID: 1850283144 Enrollment ID: O20040330000405 |
| Entity Name | First Colonies Anesthesia Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740218767 PECOS PAC ID: 8426039744 Enrollment ID: O20040525000119 |
| Entity Name | Securus Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750594347 PECOS PAC ID: 2860586492 Enrollment ID: O20070913000432 |
| Entity Name | Columbia Outpatient Sedation Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588921225 PECOS PAC ID: 3476718792 Enrollment ID: O20120711000267 |
| Entity Name | Medstar Medical Group Ii Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347 |
| Entity Name | Anesthesia Management Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467880500 PECOS PAC ID: 8729217955 Enrollment ID: O20140210000652 |
| Entity Name | Cumberland Anesthesia Ams Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033531785 PECOS PAC ID: 4981825056 Enrollment ID: O20141015001480 |
| Entity Name | Medstar Medical Group Anesthesiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528578333 PECOS PAC ID: 1052678034 Enrollment ID: O20171207001966 |
| Entity Name | Northrium Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336700160 PECOS PAC ID: 2062742406 Enrollment ID: O20250307000606 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Trevan, MD Po Box 7096, Stockton, CA 95267-0096 Ph: (209) 956-7725 | Lisa Trevan, MD 10212 Governor Lane Blvd, Suite1004, Williamsport, MD 21795-4086 Ph: (301) 733-4200 |