| Dr Frank Lake, MD | |
|
743 Spring St Ne, Gainesville, GA 30501-3715 | |
| (770) 535-3393 | |
| (770) 503-0579 |
| Full Name | Dr Frank Lake |
|---|---|
| Gender | Male |
| Speciality | Radiology - Hospice And Palliative Medicine |
| Location | 743 Spring St Ne, Gainesville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699776906 | NPI | - | NPPES |
| 00116168A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 011972 (Georgia) | Secondary |
| 2085H0002X | Radiology - Hospice And Palliative Medicine | 11972 (Georgia) | Primary |
| Entity Name | Northeast Georgia Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Frank Lake, MD Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Dr Frank Lake, MD 743 Spring St Ne, Gainesville, GA 30501-3715 Ph: (770) 535-3393 |
Kimberely J Windham-cope, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820 | |
Dr. Scott M Stephen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820 | |
Dr. Ajay Kumar Ravi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820 | |
Ms. Neha Agrawal, Radiology Medicare: Accepting Medicare Assignments Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-9000 | |
Dr. Lee A Martin Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Academy Street, Gainesville, GA 30501 Phone: 770-282-8820 | |
Dr. Brian P Gay, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 425 Broad St Se, Suite 102, Gainesville, GA 30501 Phone: 770-718-9776 Fax: 770-718-1910 | |
Dr. David Lawrence Kimball, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 725 Jesse Jewell Pkwy Se, Gainesville, GA 30501 Phone: 770-539-9391 Fax: 770-533-4701 |