| Lakeside Internal Medicine, Pllc | |
|
10450 E Riggs Rd Suite 110 Sun Lakes AZ 85248-7757 | |
| (480) 895-7600 | |
| (480) 895-7601 |
| Full Name | Lakeside Internal Medicine, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10450 E Riggs Rd, Sun Lakes, Arizona |
| Authorized Official Name and Position | Philip L Ku (OWNER/MEMBER) |
| Authorized Official Contact | 4808957600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Internal Medicine, Pllc 10450 E Riggs Rd Suite 110 Sun Lakes AZ 85248-7757 Ph: (480) 895-7600 | Lakeside Internal Medicine, Pllc 10450 E Riggs Rd Suite 110 Sun Lakes AZ 85248-7757 Ph: (480) 895-7600 |
| NPI Number | 1063854420 |
|---|---|
| Provider Enumeration Date | 07/25/2013 |
| Last Update Date | 07/31/2013 |
| Medicare PECOS PAC ID | 0244468981 |
|---|---|
| Medicare Enrollment ID | O20140102000683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063854420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer Lynn Cool |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528067477 PECOS PAC ID: 9234043589 Enrollment ID: I20031119000529 |
| Provider Name | Philip L Ku |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376558775 PECOS PAC ID: 1254390156 Enrollment ID: I20041006001145 |
Donald J Boles Jr Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9508 E Riggs Rd, Ste Mc263, Sun Lakes, AZ 85248 Phone: 480-895-2010 Fax: 480-883-2747 | |
Dlugas Chiropractic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9666 E Riggs Rd Ste 130, Sun Lakes, AZ 85248 Phone: 480-282-2628 | |
Modern Sports Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10450 E Riggs Rd Ste 104, Sun Lakes, AZ 85248 Phone: 502-415-2836 | |
Phoenician Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10440 E Riggs Rd Ste 200, Sun Lakes, AZ 85248 Phone: 480-963-1853 | |
First Choice Family Care, Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10440 E Riggs Rd Ste 201, Sun Lakes, AZ 85248 Phone: 480-615-2000 Fax: 480-962-0523 | |
Roger P. Rose, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10440 E Riggs Rd Ste 203, Sun Lakes, AZ 85248 Phone: 480-297-5400 |