Lisa B Noble, M.D.
Individual provider Active NPI Family Medicine Physician · Bolton, MA
NPI 1831171644 · NPPES record last updated Jul 28, 2022
Key facts
- NPI
- 1831171644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 155953 (MA)
- Practice address
- 563 Main St
Bolton, MA 01740-1300 - Phone
- (978) 586-3939
- Fax
- (978) 586-3955
- NPI assigned
- Nov 17, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Massachusetts Medical School, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Umass Memorial Medical Group Inc
Practice addresses (Care Compare)
563 Main St
Suite 3
Bolton, MA 01740-1300
Phone (978) 586-3939
Hospital & facility affiliations
- Umass Memorial Healthalliance Hospitals
- Umass Memorial Medical Center/University Campus
- Marlborough Hospital
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 MA
- 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 |
|---|---|---|---|---|
| I20080320000040 | MA | Practitioner - Family Practice | 1759467517 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group Inc | Family Medicine | Current |
Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current |
Accepting new patients |
Locations
563 Main St
Ste 3
Bolton, MA 01740
Phone (978) 586-3939
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 155953 | MA | Yes |
Addresses
Primary practice location
563 Main St
Bolton, MA 01740-1300
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110062132A | Medicaid | MA |
Other providers in Bolton, MA
- Marianela Lavena
- Joanne Marian
- Pamela R Miller
- Nashoba Regional School District
- Diane Lynn Nesman
- Hannah Elizabeth Noyes
- Occupational Therapy of New England, LLC
- Stella Panneton
- Caleigh Perkins
- Gloria E. Pierce
All providers in Bolton, MA · Family Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2022. 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.