| Dr Brian Douglas Lawenda, MD | |
|
8026 S Tamiami Trail, Venice, FL 34293 | |
| (941) 220-6460 | |
| (941) 220-5284 |
| Full Name | Dr Brian Douglas Lawenda |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 28 Years |
| Location | 8026 S Tamiami Trail, Venice, 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 |
|---|---|---|---|
| 1104896794 | NPI | - | NPPES |
| 4738395 | Other | WA | CIGNA |
| 1104896794 | Medicaid | WA | |
| 1457283 | Other | NV | GHI |
| 01371595 | Other | NV | AMERIGROUP |
| 122055900 | Medicaid | FL | |
| 7839863 | Other | NV | AETNA |
| P01650856 | Other | WA | RR MEDICARE |
| 7839863 | Other | WA | AETNA |
| P00894440 | Other | RAILROAD MEDICARE | |
| 1104896794 | Medicaid | NV | |
| 500708662 | Medicaid | OR | |
| 518641 | Medicaid | AZ |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sarasota Memorial Hospital | Sarasota, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Cancer Care Associates Pc | 5193036390 | 4 |
| Advocate Radiation Oncology Llc | 1658613096 | 20 |
| Entity Name | Northwest Cancer Care Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164810545 PECOS PAC ID: 5193036390 Enrollment ID: O20150615001025 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Douglas Lawenda, MD 3080 Harbor Blvd, Port Charlotte, FL 33952-6720 Ph: (941) 883-2199 | Dr Brian Douglas Lawenda, MD 8026 S Tamiami Trail, Venice, FL 34293 Ph: (941) 220-6460 |
Gary D Wright, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 512 Nokomis Ave S, Venice, FL 34285 Phone: 941-488-7781 Fax: 941-484-9235 | |
Sergio L Selva, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 512 Nokomis Ave S, Venice, FL 34285 Phone: 941-488-7781 Fax: 941-484-9235 | |
Dr. Kimberly Ann Ruzek, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 516 Nokomis Ave S, Venice, FL 34285 Phone: 941-488-7781 | |
Dr. Thomas Francis Barrett Sr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1211 Tuscany Blvd, Venice, FL 34292 Phone: 941-492-4140 Fax: 941-493-7189 | |
Dr. Josiah Bancroft, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 512 Nokomis Ave S, Venice, FL 34285 Phone: 941-488-7781 Fax: 941-486-8991 | |
Eric M Vihlen, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 512 Nokomis Ave S, Venice, FL 34285 Phone: 941-488-7781 Fax: 941-484-9235 |