Waseem Khan, MD | |
289 Sw Stonegate Ter, Suite103, Lake City, FL 32024-3457 | |
(386) 755-1655 | |
(386) 628-9231 |
Full Name | Waseem Khan |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 28 Years |
Location | 289 Sw Stonegate Ter, Lake 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 |
---|---|---|---|
1073557864 | NPI | - | NPPES |
830008471 | Other | FL | RR MCR |
PTAN 01693W | Other | FL | LINKED TO GROUP PTAN IE881A EFFECTIVE 07/01/15 |
01693 | Other | FL | BCBS |
279199 | Other | FL | AVMED |
262534200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | ME76931 (Florida) | Secondary |
207RX0202X | Internal Medicine - Medical Oncology | ME76931 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lake City Medical Center | Lake city, FL | Hospital |
North Florida Regional Medical Center | Gainesville, FL | Hospital |
Cuyuna Regional Medical Center | Crosby, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lake City Cancer Care Llc | 7315250685 | 5 |
Entity Name | Lake City Cancer Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396132213 PECOS PAC ID: 7315250685 Enrollment ID: O20150715000887 |
Mailing Address | Practice Location Address |
---|---|
Waseem Khan, MD 289 Sw Stonegate Ter Ste 103, Lake City, FL 32024-3457 Ph: (386) 755-1655 | Waseem Khan, MD 289 Sw Stonegate Ter, Suite103, Lake City, FL 32024-3457 Ph: (386) 755-1655 |
Dr. Sheel Goswami, Internal Medicine Medicare: Medicare Enrolled Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 352-317-7259 | |
Andrea Findlater, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 Fax: 800-308-8387 | |
Dr. Joseph Frank Mondschein, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 386-755-3016 Fax: 386-754-7414 | |
Dr. Vernon P Montoya, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 289 Sw Stonegate Terr, Suite #103, Lake City, FL 32024 Phone: 386-755-1655 Fax: 386-755-2330 | |
Dr. Maria Criselda Borlongan Zaldivar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1283 Sw Sr 47, Suite 102, Lake City, FL 32025 Phone: 877-377-5602 Fax: 386-754-1741 | |
Adetokunbo Oluwasanjo, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 795 State Road 47, Lake City, FL 32025 Phone: 386-401-7066 Fax: 833-933-0709 | |
Juan Martinez Estrada, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 619 S Marion Ave, Lake City, FL 32025 Phone: 412-512-5648 |