Dominick Lago Jr, MD | |
16001 W 9 Mile Rd, Southfield, MI 48075-4818 | |
(248) 849-3000 | |
Not Available |
Full Name | Dominick Lago Jr |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 33 Years |
Location | 16001 W 9 Mile Rd, Southfield, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013950880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 4301060139 (Michigan) | Secondary |
207L00000X | Anesthesiology | ME157049 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Manatee Memorial Hospital | Bradenton, FL | Hospital |
Mclaren Macomb | Mount clemens, MI | Hospital |
Lakewood Ranch Medical Center | Bradenton, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Glps Staffing Solutions Llc | 2365668043 | 39 |
Lakeside Anesthesia Associates Pllc | 7517861628 | 6 |
Anesthesia Dynamics Llc | 3779832530 | 379 |
Entity Name | Lakeside Anesthesia Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073534947 PECOS PAC ID: 7517861628 Enrollment ID: O20031120000879 |
Entity Name | Northland Anesthesia Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528001880 PECOS PAC ID: 5294623336 Enrollment ID: O20040309001092 |
Entity Name | Michigan Pain Management Consultants, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922041755 PECOS PAC ID: 5092709428 Enrollment ID: O20040409000170 |
Entity Name | The Center For Gastrointestinal Health At Health Park Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1437107844 PECOS PAC ID: 2163425083 Enrollment ID: O20060815000391 |
Entity Name | Michigan Pain Management Consultants-west, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689862047 PECOS PAC ID: 2961580287 Enrollment ID: O20080425000600 |
Entity Name | Providence Park Anesthesia Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942459672 PECOS PAC ID: 7315009479 Enrollment ID: O20081224000115 |
Entity Name | Glps Staffing Solutions Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750797015 PECOS PAC ID: 2365668043 Enrollment ID: O20140801002058 |
Entity Name | Dpn-mi Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427623057 PECOS PAC ID: 3476941865 Enrollment ID: O20211104001888 |
Mailing Address | Practice Location Address |
---|---|
Dominick Lago Jr, MD 255 W Michigan Ave, Jackson, MI 49201-2218 Ph: (517) 787-6440 | Dominick Lago Jr, MD 16001 W 9 Mile Rd, Southfield, MI 48075-4818 Ph: (248) 849-3000 |
Jonathan Arie Kroll, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Jeffrey Joseph Kirouac, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 | |
Leslie A Mumaw, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 26051 Lahser Rd, Southfield, MI 48034 Phone: 248-223-9945 | |
Mark Mounayer, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 26025 Lahser Rd Fl 3, Southfield, MI 48033 Phone: 248-663-1900 Fax: 248-663-1901 | |
Dr. Alexander Grossi, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 16000 W 9 Mile Rd, Suite 601, Southfield, MI 48075 Phone: 734-233-8481 | |
Shad Siddiqi, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 22250 Providence Dr Ste 401, Southfield, MI 48075 Phone: 866-974-2673 Fax: 866-939-2673 |