| Lisa C Overton | |
|
1940 E Walnut Ln, Philadelphia, PA 19138-1312 | |
| (215) 548-2113 | |
| (215) 548-3009 |
| Full Name | Lisa C Overton |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1940 E Walnut Ln, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356397913 | NPI | - | NPPES |
| 2134337000 | Other | PA | 10 DIGIT IBC HMO ID |
| 10741 | Other | PA | ELDER HEALTH ID |
| 5403600001 | Other | PA | DMERC SUPPLIER ID |
| 001444333 | Other | PA | HIGH MARK BLUE SHIELD ID |
| 0018442730002 | Medicaid | PA | |
| P00041340 | Other | PA | MEDICARE RAILROAD ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | SC004492L (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa C Overton 1940 E Walnut Ln, Philadelphia, PA 19138-1312 Ph: (215) 548-2113 | Lisa C Overton 1940 E Walnut Ln, Philadelphia, PA 19138-1312 Ph: (215) 548-2113 |
Regina Snow, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5800 Ridge Ave, Philadelphia, PA 19128 Phone: 215-487-4284 | |
Josephine Depalma Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2706 N 5th St, Philadelphia, PA 19133 Phone: 215-425-5060 Fax: 215-483-9679 | |
Ms. Jennifer Chang - Ching Van, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 148 N 8th St, Philadelphia, PA 19107 Phone: 215-777-5808 Fax: 215-777-5825 | |
Dr. Shaun M Latshaw, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8835 Germantown Ave, Philadelphia, PA 19118 Phone: 610-428-2427 | |
Dr. Noah Jan Goldman, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7919 Verree Rd, Philadelphia, PA 19111 Phone: 215-742-8383 | |
Dr. Victoria M. Adeniran, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 5800 Ridge Avenue, Philadelphia, PA 19128 Phone: 215-483-9900 | |
Debbie Park, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5800 Ridge Ave, Philadelphia, PA 19128 Phone: 215-483-9900 |