Adam Donovan Lee, DO | |
1500 S Lake Park Ave, Hobart, IN 46342-6638 | |
(219) 942-0551 | |
Not Available |
Full Name | Adam Donovan Lee |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1500 S Lake Park Ave, Hobart, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780823724 | NPI | - | NPPES |
201017380 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 336.085317 (Illinois) | Secondary |
207P00000X | Emergency Medicine | 02004933A (Indiana) | Primary |
Entity Name | Cepamerica Illinois Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
Mailing Address | Practice Location Address |
---|---|
Adam Donovan Lee, DO 1367 Acorn Dr, Crest Hill, IL 60403-0952 Ph: (815) 744-5524 | Adam Donovan Lee, DO 1500 S Lake Park Ave, Hobart, IN 46342-6638 Ph: (219) 942-0551 |
Dr. Bryan King, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 S Lake Park Ave, Hobart, IN 46342 Phone: 219-942-0551 | |
Neil D Shaffer, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 S Lake Park Ave, Hobart, IN 46342 Phone: 219-942-0551 | |
Danielle Lorraine Mcneil, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 S Lake Park Ave, Hobart, IN 46342 Phone: 219-947-6200 | |
Trevor L Loftis, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 S Lake Park Ave, Hobart, IN 46342 Phone: 219-942-0551 | |
John Paul Mulligan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1500 S Lake Park Ave, Hobart, IN 46342 Phone: 219-947-6200 Fax: 219-947-6220 | |
Lauren Kathleen Rutili, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 S Lake Park Ave, Hobart, IN 46342 Phone: 219-942-0551 | |
Dr. Guneesh Saluja, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 S Lake Park Ave, Hobart, IN 46342 Phone: 219-947-6200 |