Joan M Lusby (NPI# 1962525048, PAC ID# 0446278162) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1962525048 |
| PAC ID by PECOS | 0446278162 |
| Professional Enrollment ID | I20051110000431 |
| Full Name | Joan M Lusby |
| Organization Legal Name | MANCHESTER FAMILY MEDICINE, LLC |
| Address |
2973 Manchester Rd Manchester MD 21102-1802 |
| Phone Number | 4103744747 |
| Gender | F |
| Credential | PA |
| Graduation Year | 1975 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1557389277 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2973 Manchester Rd, Manchester, MD 21102-1802 | 4103744747 | MANCHESTER FAMILY MEDICINE, LLC |
| Organization Legal Name | MANCHESTER FAMILY MEDICINE, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Herbert Paul Henderson Jr. | Family Medicine | Manchester Family Medicine, LLC | 2973 Manchester Rd, Manchester, MD 21102-1802 |
| Teresa Anne Hanyok | Family Medicine | Manchester Family Medicine, LLC | 2973 Manchester Rd, Manchester, MD 21102-1802 |
| Kimberly L Davis | Nurse Practitioner | Manchester Family Medicine, LLC | 2973 Manchester Rd, Manchester, MD 21102-1802 |
| Street Address |
2973 MANCHESTER RD |
| City | MANCHESTER |
| State | MD |
| Zip | 21102-1802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Herbert Paul Henderson Jr. | Family Medicine | Manchester Family Medicine, LLC | 2973 Manchester Rd, Manchester, MD 21102-1802 |
| Teresa Anne Hanyok | Family Medicine | Manchester Family Medicine, LLC | 2973 Manchester Rd, Manchester, MD 21102-1802 |
| Kimberly L Davis | Nurse Practitioner | Manchester Family Medicine, LLC | 2973 Manchester Rd, Manchester, MD 21102-1802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Keys | Neurology | 2975 Manchester Rd, A, Manchester, MD 21102-1802 | |
| Dixie Lee Colgan | Nurse Practitioner | 3000 Manchester Rd, Suite 5, Manchester, MD 21102-1850 | |
| Victor Aybar | Podiatry | 2963 Manchester Rd, Suite D, Manchester, MD 21102-1853 | |
| Eliahu Bruck | Optometry | Drs. Blum and Bruck, O.d. P.a. | 2963 Manchester Rd, Suite B, Manchester, MD 21102-1853 |
| City | MANCHESTER |
| Zip Code | 21102 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MANCHESTER + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.