Dr Lucas Ross Wiegand, MD | |
303 E Par St, Orlando, FL 32804-4003 | |
(877) 876-3627 | |
(321) 843-4101 |
Full Name | Dr Lucas Ross Wiegand |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 18 Years |
Location | 303 E Par St, Orlando, 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 |
---|---|---|---|
1083893101 | NPI | - | NPPES |
3810023512 | Other | WV | MEDICAID |
WV1425A | Other | WV | MEDICARE PTAN |
014458200 | Medicaid | FL | |
14JR6 | Other | FL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 24854 (West Virginia) | Secondary |
208800000X | Urology | 2011010512 (Missouri) | Secondary |
208800000X | Urology | ME103855 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Orlando Health | Orlando, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orlando Health Medical Group Inc | 9537059084 | 1478 |
Entity Name | Orlando Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
Mailing Address | Practice Location Address |
---|---|
Dr Lucas Ross Wiegand, MD 303 E Par St, Orlando, FL 32804-4003 Ph: (877) 876-3627 | Dr Lucas Ross Wiegand, MD 303 E Par St, Orlando, FL 32804-4003 Ph: (877) 876-3627 |
Robert Anthony Badalament, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-897-3499 Fax: 407-896-9454 | |
Nabil Hilwa, MD Urology Medicare: Medicare Enrolled Practice Location: 7301 Stonerock Cir, Orlando, FL 32819 Phone: 407-298-6950 Fax: 407-578-2354 | |
Dr. George Frederick Ellis, MD Urology Medicare: Medicare Enrolled Practice Location: 89 W Copeland Dr, Orlando, FL 32806 Phone: 321-842-6910 Fax: 321-843-5998 | |
Albert Michael Ong, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 41 W Kaley St, Orlando, FL 32806 Phone: 407-843-6645 Fax: 407-843-4519 | |
Jason Cheng-en Sea, MD, FRCSC Urology Medicare: Accepting Medicare Assignments Practice Location: 2101 Park Center Dr Ste 130, Orlando, FL 32835 Phone: 407-298-6950 Fax: 407-578-2354 | |
Joshua Adam Earl, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1812 N Mills Ave, Orlando, FL 32803 Phone: 407-897-3499 Fax: 407-896-9454 |