Dr Michael Thomas Lake, MD | |
5950 Sw 81st St, Miami, FL 33143-8120 | |
(910) 257-4406 | |
Not Available |
Full Name | Dr Michael Thomas Lake |
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Gender | Male |
Speciality | Surgery |
Location | 5950 Sw 81st St, Miami, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730179045 | NPI | - | NPPES |
147WH | Other | NC | BCBSNC |
N00952 | Medicaid | SC | |
5909378 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | K8647 (Texas) | Secondary |
208600000X | Surgery | 2006-00950 (North Carolina) | Primary |
Entity Name | Scotland Memorial Hospital, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033103767 PECOS PAC ID: 0648208504 Enrollment ID: O20031105000382 |
Mailing Address | Practice Location Address |
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Dr Michael Thomas Lake, MD 5950 Sw 81st St, Miami, FL 33143-8120 Ph: (910) 257-4406 | Dr Michael Thomas Lake, MD 5950 Sw 81st St, Miami, FL 33143-8120 Ph: (910) 257-4406 |
Dr. Gladys Linda Giron, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 786-596-2000 | |
Dr. Alan S Serure, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7300 S.w. 62 Place, Suite 200, Miami, FL 33143 Phone: 305-669-0184 Fax: 305-669-0720 | |
Dr. Ascension M Torres, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 11760 Sw 40th St, Suite 722, Miami, FL 33175 Phone: 305-559-1883 Fax: 305-559-1887 | |
Dr. Geoffrey David Young, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8900 N. Kendall Dr, Miami Cancer Institute, Miami, FL 33176 Phone: 786-596-2000 Fax: 305-279-7778 | |
Dr. Tihesha L Wilson, MD Surgery Medicare: Medicare Enrolled Practice Location: 3641 S Miami Ave, Suite 331, Miami, FL 33133 Phone: 305-285-5040 Fax: 305-285-5039 | |
Henri Ronald Ford, MD Surgery Medicare: Medicare Enrolled Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 305-585-5437 | |
Humphrey C. Jones, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1190 Nw 95th St, Suite 301, Miami, FL 33150 Phone: 305-694-1374 Fax: 305-694-1376 |