Lisa M Black, PA - Physician Assistant in Burlington, VT

Lisa M Black, PA is a Physician Assistant based in Burlington, Vermont. Lisa M Black is licensed to practice in Vermont (license number 055.0031258) and her current practice location is 111 Colchester Ave, Uvm Medical Center Emergency Department, Burlington, Vermont. She can be reached at her office (for appointments etc.) via phone at (802) 847-0000.

NPI number for Lisa M Black is 1205098811 and her current mailing address is 617 Riverside Ave, Burlington, Vermont. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205098811.

Contact Information

Lisa M Black, PA
111 Colchester Ave, Uvm Medical Center Emergency Department,
Burlington, VT 05401-1473
(802) 847-0000
Not Available



Provider's Profile

Full NameLisa M Black
GenderFemale
SpecialityPhysician Assistant
Location111 Colchester Ave, Burlington, Vermont
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1205098811
  • Provider Enumeration Date: 06/26/2008
  • Last Update Date: 04/03/2017

Medical Identifiers

Medical identifiers for Lisa M Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205098811NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 055.0031258 (Vermont)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 Black 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 Black, PA
617 Riverside Ave,
Burlington, VT 05401-1601

Ph: (802) 864-6309
Lisa M Black, PA
111 Colchester Ave, Uvm Medical Center Emergency Department,
Burlington, VT 05401-1473

Ph: (802) 847-0000

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› Verified 5 days ago


Physician Assistant Nurses in Burlington, VT

Dr. Kristen M. Daniels, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 111 Colchester Ave., Uvm Medical Center - Surgery/plastics, Burlington, VT 05401
Phone: 802-847-3340    Fax: 802-847-7083
Kimberly Ann Holbrook, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 111 Colchester Ave, 354mp2, Burlington, VT 05401
Phone: 802-847-3496    Fax: 802-847-0574
Mrs. Cheryl Gagnon, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 111 Colchester Ave, Burlington, VT 05401
Phone: 802-864-0111    
Kirsten Lanpher, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 111 Colchester Ave, Burlington, VT 05401
Phone: 802-847-4590    Fax: 802-847-0654
Ms. Christine Yvette O'neill, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 111 Colchester Ave, Fahc Radiology Department, Burlington, VT 05401
Phone: 802-847-8359    
Oliver Barkley,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 111 Colchester Ave, 205wp1, Burlington, VT 05401
Phone: 802-847-3982    
Nicole Kimball, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 173 Saint Paul St, Burlington, VT 05401
Phone: 866-476-1321    

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