Lisa M York, MD
Individual provider Active NPI Family Medicine Physician · Victoria, VA
NPI 1295730778 · NPPES record last updated Aug 13, 2024
Key facts
- NPI
- 1295730778
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0101236565 (VA)
- Practice address
- 1508 K V Rd
Victoria, VA 23974-2624 - Phone
- (434) 696-2165
- NPI assigned
- Jun 20, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 26
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Virginia School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Bon Secours Medical Group Richmond Primary Care LLC
Practice addresses (Care Compare)
1362 Tappahannock Blvd
Tappahannock, VA 22560-9309
Phone (804) 443-5378
213 N Main St
Blackstone, VA 23824-1425
Phone (434) 292-7261
Hospital & facility affiliations
- Amedisys Home Health
- Bon Secours St Marys Hospital
- Bon Secours St Francis Medical Center
- Community Memorial Hospital
- Southside Community Hospital, Inc
- Bon Secours Southside Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040910000609 | VA | Practitioner - Family Practice | 1456328400 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Richmond Primary Care LLC | Family Medicine | Current |
Accepting new patients |
| Commonwealth Counseling Associates Inc | Past | Accepting new patients |
Locations
213 N Main St
Blackstone, VA 23824
Phone (434) 292-7261
1362 Tappahannock Blvd
Tappahannock, VA 22560
Phone (804) 443-5378
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101236565 | VA | Yes |
Addresses
Primary practice location
1508 K V Rd
Victoria, VA 23974-2624
Mailing address
1508 K V Rd
Victoria, VA 23974-2624
Phone (434) 696-2165
Other practice location 1
213 N Main St
Blackstone, VA 23824-1425
Phone (434) 292-7261
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010092388 | Medicaid | VA | |
| 224189800 | Other | VA | DOL |
| P00236446 | Other | VA | RR MEDICARE KB |
| 1295730778 | Medicaid | VA | |
| 144746 | Other | VA | BCBS # |
| 189201 | Other | VA | BCBS # |
| 52807 | Other | VA | CARENET |
| 7181719 | Other | VA | AETNA |
| 91404 | Other | VA | OPTIMA |
| D9947 | Other | VA | MEDCOST |
| 010103401 | Other | VA | VA PREMIER KB |
| 010103584 | Medicaid | VA | |
| P00253131 | Other | VA | RR MEDICARE |
| 52392 | Other | VA | CARENET KB |
| 5903138 | Other | VA | NC MEDICAID |
| 7407427 | Other | VA | CIGNA |
| 010103401 | Medicaid | VA | |
| 144745 | Other | VA | BCBS # |
| 92825 | Other | VA | OPTIMA KB |
| D9948 | Other | VA | MEDCOST |
| 010092388 | Other | VA | VA PREMIER |
| 1295730778 | Other | VA | NPI |
| 299406 | Other | VA | SOUTHERN HEALTH |
| 299407 | Other | VA | SOUTHERN HEALTH KB |
| 299421 | Other | VA | SOUTHERN HEALTH KB |
| D9949 | Other | VA | MEDCOST |
Other providers in Victoria, VA
- Victoria Drug Company
- Victoria Drug Company
- Victoria Fire and Rescue Company, Incorporated
- Denea S White
- Chandra Wilkerson
- Elizabeth Ruth Zirkle
All providers in Victoria, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.