| Mrs Lisa Jo Matherson, CRNP | |
|
2050 Old West Chester Pike, Havertown, PA 19083-2712 | |
| (610) 449-8600 | |
| (610) 449-1302 |
| Full Name | Mrs Lisa Jo Matherson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 2050 Old West Chester Pike, Havertown, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922213594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | SPOO3533H (Pennsylvania) | Primary |
| Entity Name | Geps Physician Group Of Pennsylvania Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467471615 PECOS PAC ID: 8426953597 Enrollment ID: O20031204000010 |
| Entity Name | Alignmed Partners Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180123000502 |
| Entity Name | Alignmed Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366289423 PECOS PAC ID: 3476090440 Enrollment ID: O20240819000150 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa Jo Matherson, CRNP 271 Green Hollow Rd, Glenmoore, PA 19343-1509 Ph: (610) 913-8008 | Mrs Lisa Jo Matherson, CRNP 2050 Old West Chester Pike, Havertown, PA 19083-2712 Ph: (610) 449-8600 |
Mrs. Tara Ann Bussett, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2010 W Chester Pike Ste 350, Havertown, PA 19083 Phone: 610-853-1112 Fax: 610-446-1425 | |
Lijuan Yuan, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2010 W Chester Pike Ste 448, Havertown, PA 19083 Phone: 610-853-2502 | |
Jamie Green, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 E Township Line Rd, Havertown, PA 19083 Phone: 888-985-2727 | |
Veronica Gottsch, MSN, CRNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 323 Davis Rd, Havertown, PA 19083 Phone: 610-329-0834 | |
Danielle Nugent, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 504 Dogwood Cir, Havertown, PA 19083 Phone: 484-306-3126 Fax: 757-432-3216 | |
Mrs. Shayne King Dougherty, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 32 Greenview Ln, Havertown, PA 19083 Phone: 610-924-9763 | |
Tamarra Graham, APN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2010 W Chester Pike Ste 314, Havertown, PA 19083 Phone: 610-892-3800 |