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Maria Angelica Marasigan Lupisan

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4590 Dressler Rd NW, Canton, OH 44718-2546

PECOS Enrollment

This provider is enrolled in PECOS as MARIA ANGELICA LUPISAN.

Based on the most recent information from CMS, provider Maria Angelica Marasigan Lupisan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1437737566
Provider Type
Individual
Full Name
Lupisan, Maria Angelica Marasigan
Credential
APRN, NP-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/30/2021
Last Updated
3/30/2021

Contact Information

Practice Location

4590 Dressler Rd NW, Canton, OH 44718-2546

(330) 484-1607

(330) 484-2943

Mailing Location

9124 Lords Lake Cir NW, Massillon, OH 44646-9567

(540) 532-3845

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN.CNP.0028617 Ohio
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License RN.443547 Ohio

Maria Angelica Marasigan Lupisan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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