Lisa M Wiltrout, MD - Pediatrics in La Plata, MD

Lisa M Wiltrout, MD is a Pediatrics physician based in La Plata, Maryland. Lisa M Wiltrout is licensed to practice in Maryland (license number D0057484) and her current practice location is 5 Garrett Ave, Civista Medical Center, La Plata, Maryland. She can be reached at her office (for appointments etc.) via phone at (301) 609-4000.

NPI number for Lisa M Wiltrout is 1306813134 and her current mailing address is 701 Charles St, P.o. Box 1070, La Plata, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306813134.

Contact Information

Lisa M Wiltrout, MD
5 Garrett Ave, Civista Medical Center,
La Plata, MD 20646-5960
(301) 609-4000
Not Available



Physician's Profile

Full NameLisa M Wiltrout
GenderFemale
SpecialityPediatrics
Location5 Garrett Ave, La Plata, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306813134
  • Provider Enumeration Date: 03/01/2006
  • Last Update Date: 04/21/2011

Medical Identifiers

Medical identifiers for Lisa M Wiltrout such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306813134NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics D0057484 (Maryland)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa M Wiltrout is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa M Wiltrout, MD
701 Charles St, P.o. Box 1070,
La Plata, MD 20646-5930

Ph: (301) 609-4000
Lisa M Wiltrout, MD
5 Garrett Ave, Civista Medical Center,
La Plata, MD 20646-5960

Ph: (301) 609-4000

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› Verified 9 days ago


Pediatrics Doctors in La Plata, MD

Dr. Eugene Suwandhi, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5 Garrett Ave, La Plata, MD 20646
Phone: 301-609-4539    
Daniel Tummillo, M.D
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5 Garrett Ave, La Plata, MD 20646
Phone: 301-609-4000    
Dr. James Joseph Vitek, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 701 East Charles Street, La Plata, MD 20646
Phone: 301-609-4000    Fax: 301-609-4311
Jennifer Blansett, CRNP
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 103 Centennial St Ste C, La Plata, MD 20646
Phone: 301-934-9111    Fax: 301-934-9111

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