Lisa M Brubaker (NPI# 1922402882, PAC ID# 2264750496) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1922402882 |
| PAC ID by PECOS | 2264750496 |
| Professional Enrollment ID | I20150417001380 |
| Full Name | Lisa M Brubaker |
| Address |
22 Bronco Rd Ennis MT 59729 |
| Phone Number | 4066704546 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 22 Bronco Rd, Ennis, MT 59729 | 4066704546 | |
| 305 N Main St, Ennis, MT 59729-8001 | 4066826862 | MADISON VALLEY HOSPITAL ASSOCIATION |
| Street Address |
22 BRONCO RD |
| City | ENNIS |
| State | MT |
| Zip | 59729 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Krystin D Nutt | Nurse Practitioner | Madison Valley Hospital Association | 305 N Main St, Ennis, MT 59729-8001 |
| Martin E Hensel | Physician Assistant | Madison Valley Hospital Association | 305 N Main St, Ennis, MT 59729-8001 |
| Martin G Degroot | Physician Assistant | Madison Valley Hospital Association | 305 N Main St, Ennis, MT 59729-8001 |
| David Joseph Newton | Family Medicine | Madison Valley Hospital Association | 305 N Main St, Ennis, MT 59729-8001 |
| Robert D Marks | Family Medicine | Madison Valley Hospital Association | 305 N Main St, Ennis, MT 59729-8001 |
| Maura Davenport | Family Medicine | Madison Valley Hospital Association | 305 N Main St, Ennis, MT 59729-8001 |
| Gail L Elser | Speech Language Pathologist | 7 Jeffers Loop, Ennis, MT 59729-9029 | |
| Robert A Sahli | Physical Therapy | 110 S 1st St, Ennis, MT 59729-9095 |
| City | ENNIS |
| Zip Code | 59729 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | ENNIS + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Lisa M Brubaker.
| 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.