Mrs Elisa Miranda Sison Irisari, MD in Moundsville, WV - Obstetrics & Gynecology

Mrs Elisa Miranda Sison Irisari, MD is a Obstetrics & Gynecology physician based in Moundsville, West Virginia. Mrs Elisa Miranda Sison Irisari is licensed to practice in West Virginia (license number 11087) and her current practice location is 119 Jefferson Ave, Moundsville, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 845-8555.

NPI number for Mrs Elisa Miranda Sison Irisari is 1770668816 and her current mailing address is 2000 Eoff St, Wheeling, West Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770668816.

Contact Information

	Mrs Elisa Miranda Sison Irisari, MD
	119 Jefferson Ave, Moundsville, WV 26041-1410
	(304) 845-8555
	(304) 843-1008

Physician's Profile

Full Name	Mrs Elisa Miranda Sison Irisari
Gender	Female
Speciality	Obstetrics & Gynecology
Location	119 Jefferson Ave, Moundsville, West Virginia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1770668816
Provider Enumeration Date: 10/26/2006
Last Update Date: 10/28/2016

Medical Identifiers

Medical identifiers for Mrs Elisa Miranda Sison Irisari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770668816	NPI	-	NPPES
0094259000	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	11087 (West Virginia)	Primary
207V00000X	Obstetrics & Gynecology	0108761 (Ohio)	Secondary

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. Mrs Elisa Miranda Sison Irisari 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 Address	Practice Location Address
Mrs Elisa Miranda Sison Irisari, MD 2000 Eoff St, Wheeling, WV 26003-3823 Ph: (304) 234-8663	Mrs Elisa Miranda Sison Irisari, MD 119 Jefferson Ave, Moundsville, WV 26041-1410 Ph: (304) 845-8555

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Mrs Elisa Miranda Sison Irisari, MD - Obstetrics & Gynecology in Moundsville, WV