| Dr Hoang T Vu, DO | |
|
440 Sw Perimeter Gln, Lake City, FL 32025-0497 | |
| (386) 719-9663 | |
| (386) 719-9662 |
| Full Name | Dr Hoang T Vu |
|---|---|
| Gender | Male |
| Speciality | Interventional Pain Management |
| Experience | 23 Years |
| Location | 440 Sw Perimeter Gln, Lake City, 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 |
|---|---|---|---|
| 1164621314 | NPI | - | NPPES |
| OS11191 | Other | FL | MEDICL LICENSE |
| 013362500 | Medicaid | FL | |
| 14AF5 | Other | FL | BSBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | OS11191 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake City Medical Center | Lake city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Pain And Rehabilitation Associates Inc | 6204732605 | 65 |
| Entity Name | Florida Pain And Rehabilitation Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053363457 PECOS PAC ID: 6204732605 Enrollment ID: O20031219000145 |
| Entity Name | National Surgical Centers Of America Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1770724122 PECOS PAC ID: 0143365205 Enrollment ID: O20100301000970 |
| Entity Name | National Surgical Centers Of America Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1063853174 PECOS PAC ID: 0143365205 Enrollment ID: O20131219001320 |
| Entity Name | National Surgical Centers Of America Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1992040976 PECOS PAC ID: 0143365205 Enrollment ID: O20140424001550 |
| Entity Name | National Surgical Centers Of America Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1346662186 PECOS PAC ID: 0143365205 Enrollment ID: O20140424002084 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Hoang T Vu, DO 440 Sw Perimeter Gln, Lake City, FL 32025-0497 Ph: (386) 719-9663 | Dr Hoang T Vu, DO 440 Sw Perimeter Gln, Lake City, FL 32025-0497 Ph: (386) 719-9663 |
Marqus Ellery Fisher, PT, MSM Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 289 Sw Stonegate Ter Ste 101, Lake City, FL 32024 Phone: 386-401-4309 Fax: 386-400-5109 |