Lisa M Everett (NPI# 1578915278, PAC ID# 9032407002) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1578915278 |
| PAC ID by PECOS | 9032407002 |
| Professional Enrollment ID | I20161006000447 |
| Full Name | Lisa M Everett |
| Organization Legal Name | GENEVA GENERAL HOSPITAL INC |
| Address |
4 W Genesee St Clyde NY 14433-1126 |
| Phone Number | 3159233640 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7810809407 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330058 | GENEVA GENERAL HOSPITAL |
| 330030 | NEWARK-WAYNE COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4 W Genesee St, Clyde, NY 14433-1126 | 3159233640 | GENEVA GENERAL HOSPITAL INC |
| Organization Legal Name | GENEVA GENERAL HOSPITAL INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney T Harrison | Anesthesiology | Geneva General Hospital Inc | 196 N St, Geneva, NY 14456-1651 |
| Nancy Jo Rembaum | Certified Registered Nurse Anesthetist | Geneva General Hospital Inc | 196 N St, Geneva, NY 14456-1651 |
| Peter F D Silva | General Surgery | Geneva General Hospital Inc | 200 N St, Geneva, NY 14456-1561 |
| David D Blasczak | Family Practice | Geneva General Hospital Inc | 4 W Genesee St, Clyde, NY 14433-1126 |
| Street Address |
4 W GENESEE ST |
| City | CLYDE |
| State | NY |
| Zip | 14433-1126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David D Blasczak | Family Practice | Geneva General Hospital Inc | 4 W Genesee St, Clyde, NY 14433-1126 |
| City | CLYDE |
| Zip Code | 14433 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLYDE + NURSE PRACTITIONER |
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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.