| Dr Lane R Phillips, DO | |
|
1125 Townpark Ave Ste 1011, Lake Mary, FL 32746-7605 | |
| (407) 804-9494 | |
| (407) 804-9443 |
| Full Name | Dr Lane R Phillips |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 1125 Townpark Ave Ste 1011, Lake Mary, 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 |
|---|---|---|---|
| 1659374122 | NPI | - | NPPES |
| 83416 | Other | SC | SC BOARD OF MEDICAL EXAMINERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 83416 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | 0S7692 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Spartanburg Medical Center | Spartanburg, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spartanburg Medical Center | 3072425297 | 977 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
| Entity Name | Spartanburg Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235170077 PECOS PAC ID: 3072425297 Enrollment ID: O20040322000577 |
| Entity Name | Cherokee Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285275305 PECOS PAC ID: 5991041212 Enrollment ID: O20191220002041 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lane R Phillips, DO 1125 Townpark Ave Suite 1011, Lake Mary, FL 32746-7605 Ph: (407) 804-9494 | Dr Lane R Phillips, DO 1125 Townpark Ave Ste 1011, Lake Mary, FL 32746-7605 Ph: (407) 804-9494 |
Shellie Graham-lapp, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4106 W Lake Mary Blvd, Suite 100, Lake Mary, FL 32746 Phone: 407-333-2273 Fax: 407-333-3939 | |
Dr. Kristina Howes Berger, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 755 Rinehart Rd, Suite 100, Lake Mary, FL 32746 Phone: 407-333-1550 Fax: 407-333-3081 | |
Carlos Mercado, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1307 S International Pkwy, Suite 2091, Lake Mary, FL 32746 Phone: 407-771-0404 Fax: 407-771-0405 | |
Dr. Angela R Merzenich, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4106 W Lake Mary Blvd Ste 225, Lake Mary, FL 32746 Phone: 407-548-6530 Fax: 407-548-6535 | |
Dr. Durgabhavani B Valay, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 109 Timberlachen Cir, Lake Mary, FL 32746 Phone: 407-880-0011 Fax: 407-880-7792 | |
Dr. Ronald Bosco Benard Saborio, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Technology Park Ste 109, Lake Mary, FL 32746 Phone: 407-647-2346 | |
Dr. Bhavana Madyahnapu, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 968 Kersfield Cir, Lake Mary, FL 32746 Phone: 407-865-0968 |