| Dr Lisa Michelle Davis, PHD, PA-C | |
|
3950 White Rose Way, Ellicott City, MD 21042-5822 | |
| (443) 865-5342 | |
| Not Available |
| Full Name | Dr Lisa Michelle Davis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 29 Years |
| Location | 3950 White Rose Way, Ellicott City, 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 |
|---|---|---|---|
| 1629887518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | C0002863 (Maryland) | Primary |
| 207R00000X | Internal Medicine | C0002863 (Maryland) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maryland Family Care Inc | 5092629394 | 157 |
| Entity Name | Maryland Family Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718256 PECOS PAC ID: 5092629394 Enrollment ID: O20031119000273 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Michelle Davis, PHD, PA-C 3950 White Rose Way, Ellicott City, MD 21042-5822 Ph: (443) 865-5342 | Dr Lisa Michelle Davis, PHD, PA-C 3950 White Rose Way, Ellicott City, MD 21042-5822 Ph: (443) 865-5342 |
Yelizaveta Bavosa, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3300 Centennial Ln, Ellicott City, MD 21042 Phone: 866-389-2727 |
Stella M Blais, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10120 Baltimore National Pike, Ellicott City, MD 21042 Phone: 410-730-3399 |
Robert E Simonsen, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3570 Saint Johns Ln, Ellicott City, MD 21042 Phone: 410-461-9500 Fax: 410-461-8945 |
Esther Clinton, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2702 Snowmill Ct, Ellicott City, MD 21043 Phone: 410-227-4080 |
Eden Fernandez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3300 Centennial Ln, Ellicott City, MD 21042 Phone: 866-389-2727 |
Sophia Eun Ro, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9055 Chevrolet Dr Ste 203, Ellicott City, MD 21042 Phone: 410-750-9200 Fax: 410-750-9211 |
Juan Liu, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3820 Bonnybridge Pl, Ellicott City, MD 21043 Phone: 443-854-4748 |