| Corey Lake, | |
|
1924 Alcoa Hwy, Box U109, Knoxville, TN 37920-1511 | |
| (865) 305-9220 | |
| Not Available |
| Full Name | Corey Lake |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 11 Years |
| Location | 1924 Alcoa Hwy, Knoxville, Tennessee |
| 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 |
|---|---|---|---|
| 1669852935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | ME146259 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Josephs Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Medical Group, Inc. | 6406753623 | 1356 |
| Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Entity Name | Smh Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346295292 PECOS PAC ID: 1355240177 Enrollment ID: O20031231000211 |
| Entity Name | American Anesthesiology Services Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508318387 PECOS PAC ID: 1850674540 Enrollment ID: O20170202001989 |
| Entity Name | Sunshine State Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
| Mailing Address | Practice Location Address |
|---|---|
| Corey Lake, 1924 Alcoa Hwy, Box U109, Knoxville, TN 37920-1511 Ph: () - | Corey Lake, 1924 Alcoa Hwy, Box U109, Knoxville, TN 37920-1511 Ph: (865) 305-9220 |
Daniela Apostoaei, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10820 Parkside Dr, Knoxville, TN 37934 Phone: 405-272-0361 | |
Dr. James Wike, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 501 20th St, Suite 606, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 | |
Dr. Heather Dawn Phillips, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2018 W Clinch Ave, Knoxville, TN 37916 Phone: 865-541-8485 | |
Mark S Mumford, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 501 20th St, Knoxville, TN 37916 Phone: 865-546-8040 Fax: 865-541-2787 | |
Dr. David G Adams, M.D Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1924 Alcoa Hwy, Box U 109, Knoxville, TN 37920 Phone: 865-305-9220 | |
Dr. Pamela P Mobley, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1924 Alcoa Hwy, Box U109, Knoxville, TN 37920 Phone: 865-544-9220 | |
Dr. James R Langdon, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1924 Alcoa Hwy, Box U109, Knoxville, TN 37920 Phone: 865-544-9220 |