Kenson Lacossiere, MD | |
200 Se Hospital Ave, Stuart, FL 34994-2346 | |
(772) 223-5618 | |
(772) 288-5834 |
Full Name | Kenson Lacossiere |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 18 Years |
Location | 200 Se Hospital Ave, Stuart, 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 |
---|---|---|---|
1255576286 | NPI | - | NPPES |
14P0S | Other | FL | FLORIDA BLUE |
007816400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | ME114403 (Florida) | Primary |
207R00000X | Internal Medicine | ME114403 (Florida) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Cleveland Clinic Martin North Hospital | Stuart, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Martin Memorial Physicians Corporation Inc | 7315833555 | 377 |
Entity Name | Martin Memorial Physicians Corporation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578505228 PECOS PAC ID: 7315833555 Enrollment ID: O20040225000440 |
Entity Name | Inpatient Consultants Of Florida, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396795597 PECOS PAC ID: 4789614785 Enrollment ID: O20050819000018 |
Entity Name | Hni Medical Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366735169 PECOS PAC ID: 6406028810 Enrollment ID: O20111007000131 |
Mailing Address | Practice Location Address |
---|---|
Kenson Lacossiere, MD Po Box 417, Stuart, FL 34995-0417 Ph: (772) 781-2799 | Kenson Lacossiere, MD 200 Se Hospital Ave, Stuart, FL 34994-2346 Ph: (772) 223-5618 |
Adam Dahlen, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 200 Se Hospital Ave, Stuart, FL 34994 Phone: 772-223-5618 Fax: 772-288-5834 | |
Robert J Vanvliet, D.O. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 200 Se Hospital Ave, Stuart, FL 34994 Phone: 772-223-5618 Fax: 772-288-5834 | |
Asif Masood, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 200 Se Hospital Ave, Stuart, FL 34994 Phone: 772-223-5618 Fax: 772-288-5834 | |
Yale Tiley, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 200 Se Hospital Ave, Stuart, FL 34994 Phone: 772-278-5200 | |
Maya Antony, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 200 Se Hospital Ave # 2346, Stuart, FL 34994 Phone: 772-287-5200 | |
Dr. Sowande Buckmire, M.D Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 200 Se Hospital Ave, Stuart, FL 34994 Phone: 772-223-5618 Fax: 772-288-5834 |