| Dr Carolyn D Pass, MD | |
|
1143 State Road 60 E, Lake Wales, FL 33853-4320 | |
| (863) 679-8815 | |
| (863) 679-8335 |
| Full Name | Dr Carolyn D Pass |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 33 Years |
| Location | 1143 State Road 60 E, Lake Wales, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306814553 | NPI | - | NPPES |
| 41992 | Other | FL | BCBS |
| 252811800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME73921 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Post Acute Care Clinicians Llc | 3971820598 | 39 |
| Entity Name | Optumcare Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053384214 PECOS PAC ID: 3072403476 Enrollment ID: O20040318001123 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carolyn D Pass, MD 1143 State Road 60 E, Lake Wales, FL 33853-4320 Ph: (863) 679-8815 | Dr Carolyn D Pass, MD 1143 State Road 60 E, Lake Wales, FL 33853-4320 Ph: (863) 679-8815 |
Mr. Aaron Rene Allick Douen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 S 11th St, Lake Wales, FL 33853 Phone: 863-676-1433 Fax: 347-956-8405 | |
Dr. Caroline C Honculada, M D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 425 S 11th St Ste 1, Lake Wales, FL 33853 Phone: 863-679-9494 Fax: 863-679-8866 | |
Dr. Mahesh Gandhi Allam, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 Druid Cir, Lake Wales, FL 33853 Phone: 863-877-2411 Fax: 863-354-6617 | |
Dr. Andrei Hastings, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 S 11th St, Lake Wales, FL 33853 Phone: 863-676-1433 | |
Mr. O'shaine Brown, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 S 11th St, Lake Wales, FL 33853 Phone: 863-676-1433 | |
Daniela Patricia Trelles Garcia, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1255 State Road 60 E Ste 300, Lake Wales, FL 33853 Phone: 863-421-7722 |