Dr Jason Greer Lake, MD, MPH | |
171 Ashley Ave, Charleston, SC 29425-1002 | |
(843) 792-1414 | |
Not Available |
Full Name | Dr Jason Greer Lake |
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Gender | Male |
Speciality | Pediatrics - Pediatric Infectious Diseases |
Location | 171 Ashley Ave, Charleston, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609195189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0208X | Pediatrics - Pediatric Infectious Diseases | 11680333-1205 (Utah) | Primary |
Entity Name | University Of Utah Pediatric Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371 |
Mailing Address | Practice Location Address |
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Dr Jason Greer Lake, MD, MPH Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-1414 | Dr Jason Greer Lake, MD, MPH 171 Ashley Ave, Charleston, SC 29425-1002 Ph: (843) 792-1414 |
Andrew M Atz, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. Savanna Gilhooly Dincman, MD, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Jason Robert Buckley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Elizabeth Emrath Zivick, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. Megan Elizabeth Redfern, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-876-0795 | |
Elizabeth Mary Wallis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Dr. Caitlin Marie Stoll, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2244 Ashley Crossing Dr Unit 536, Charleston, SC 29414 Phone: 386-479-8265 |