Dr Jacobo Noel Lama, MD | |
101 S Dixie Dr, Haines City, FL 33844 | |
(863) 421-1190 | |
(863) 422-7393 |
Full Name | Dr Jacobo Noel Lama |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 38 Years |
Location | 101 S Dixie Dr, Haines City, Florida |
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 |
---|---|---|---|
1285716456 | NPI | - | NPPES |
373686500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 64989 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Trinity Medical Physicians Llc | 9234554643 | 29 |
Lama Physicians Llc | 9537550207 | 3 |
Entity Name | J Noel Lama Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265706709 PECOS PAC ID: 1658521125 Enrollment ID: O20121017000887 |
Entity Name | Trinity Medical Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225652878 PECOS PAC ID: 9234554643 Enrollment ID: O20200803000585 |
Entity Name | Lama Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902571136 PECOS PAC ID: 9537550207 Enrollment ID: O20220107000424 |
Mailing Address | Practice Location Address |
---|---|
Dr Jacobo Noel Lama, MD 425 W Colonial Dr Ste 303, Orlando, FL 32804-6863 Ph: (863) 421-1190 | Dr Jacobo Noel Lama, MD 101 S Dixie Dr, Haines City, FL 33844 Ph: (863) 421-1190 |
Dr. Preyanka Aggarwal, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 36245 Hwy 27, Haines City, FL 33844 Phone: 863-421-9801 Fax: 863-421-9364 | |
Mrs. Mayra Keaton, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 313 Villa Sorrento Cir, Haines City, FL 33844 Phone: 863-661-5105 |