Lakeland Medical Associates | |
117 Medical Circle Athens TX 75751 | |
(903) 676-3200 | |
(903) 676-3277 |
Full Name | Lakeland Medical Associates |
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Speciality | Family Medicine |
Location | 117 Medical Circle, Athens, Texas |
Authorized Official Name and Position | Ronald W Heine (CE0) |
Authorized Official Contact | 9036763200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lakeland Medical Associates 117 Medical Circle Athens TX 75751 Ph: (903) 676-3200 | Lakeland Medical Associates 117 Medical Circle Athens TX 75751 Ph: (903) 676-3200 |
NPI Number | 1528063534 |
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Provider Enumeration Date | 06/16/2005 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 2567476146 |
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Medicare Enrollment ID | O20060202000852 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528063534 | NPI | - | NPPES |
00D969 | Other | TX | BCBS GROUP NUMBER |
111549503 | Medicaid | TX | |
111549502 | Medicaid | TX |
Provider Name | Christopher R Johnson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942237078 PECOS PAC ID: 3678476462 Enrollment ID: I20040319000897 |
Provider Name | Donald Carney |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932104932 PECOS PAC ID: 8426192923 Enrollment ID: I20100222000822 |
Provider Name | Waleed Mahmoud |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366447062 PECOS PAC ID: 7911041421 Enrollment ID: I20100222000901 |
Provider Name | Steven Koerth |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124023130 PECOS PAC ID: 1254475775 Enrollment ID: I20100222000938 |
Provider Name | Norman L Jennings |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659378925 PECOS PAC ID: 6305841693 Enrollment ID: I20100526000925 |
Provider Name | Ronald Heine |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013912716 PECOS PAC ID: 7315076528 Enrollment ID: I20100526000972 |
Provider Name | Michael Swartwood |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487883153 PECOS PAC ID: 3173769197 Enrollment ID: I20130418000162 |
Provider Name | Alicia Cleaver |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730409939 PECOS PAC ID: 3870718240 Enrollment ID: I20140627001893 |
Provider Name | Haley N Burk |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770988149 PECOS PAC ID: 5294058079 Enrollment ID: I20141231001097 |
Provider Name | Joshua N Splinter |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306109228 PECOS PAC ID: 1355661158 Enrollment ID: I20150519001099 |
Provider Name | Angela M Hill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457800294 PECOS PAC ID: 0648550442 Enrollment ID: I20161214000717 |
Provider Name | Jessica Thomason Boldwill |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437507514 PECOS PAC ID: 4385935709 Enrollment ID: I20180213002290 |
Provider Name | Christian J Zuniga |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1053722355 PECOS PAC ID: 9335404862 Enrollment ID: I20180604000089 |
Provider Name | Brandi N Jones |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255988937 PECOS PAC ID: 7618207085 Enrollment ID: I20190927000296 |
Provider Name | Renessa L Gerhardt |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790216224 PECOS PAC ID: 8426467010 Enrollment ID: I20210512000512 |
Provider Name | Melissa L Sheldon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689223141 PECOS PAC ID: 6901282235 Enrollment ID: I20221010002414 |
Provider Name | Shea Burkett |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801479944 PECOS PAC ID: 8729497144 Enrollment ID: I20240821004442 |
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