Dr Brad M Lake, MD | |
15770 Paul Vega Md Dr Ste 204, Hammond, LA 70403-1475 | |
(985) 230-7860 | |
(985) 230-7861 |
Full Name | Dr Brad M Lake |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 17 Years |
Location | 15770 Paul Vega Md Dr Ste 204, Hammond, Louisiana |
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 |
---|---|---|---|
1922205160 | NPI | - | NPPES |
2301853 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD.205375 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Oaks Medical Center, L L C | Hammond, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Oaks Physician Group Llc | 9133378870 | 86 |
Entity Name | North Oaks Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427035211 PECOS PAC ID: 9133378870 Enrollment ID: O20121012000490 |
Mailing Address | Practice Location Address |
---|---|
Dr Brad M Lake, MD Po Box 2668, Hammond, LA 70404-2668 Ph: (985) 230-7860 | Dr Brad M Lake, MD 15770 Paul Vega Md Dr Ste 204, Hammond, LA 70403-1475 Ph: (985) 230-7860 |
Dr. Robert B Kidd, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 15770 Paul Vega Md Dr, Hammond, LA 70403 Phone: 985-542-1226 Fax: 985-542-2887 | |
Jay W Heintz, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 42439 Pelican Professional Park, Hammond, LA 70403 Phone: 985-542-1226 Fax: 985-542-2887 | |
Jason Chiang, Urology Medicare: Accepting Medicare Assignments Practice Location: 42439 Pelican Professional Park, Hammond, LA 70403 Phone: 985-542-1226 | |
Dr. Stephen M Graham, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 15813 Paul Vega Md Dr, Suite 201-a, Hammond, LA 70403 Phone: 985-230-7860 Fax: 985-230-7861 | |
Dr. R. Vincent Kidd Iii, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2101 Robin Ave, Ste 1, Hammond, LA 70403 Phone: 985-542-7766 Fax: 985-542-1754 | |
Dr. Bonadelvert C Suarez, MD Urology Medicare: Medicare Enrolled Practice Location: 42421 Pelican Professional Park, Hammond, LA 70403 Phone: 985-542-1317 Fax: 985-542-1958 |