| Lawrence Raymond Shoemaker, MD | |
|
725 Irving Ave, Syracuse, NY 13210-1603 | |
| (315) 464-6340 | |
| (315) 464-6329 |
| Full Name | Lawrence Raymond Shoemaker |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 39 Years |
| Location | 725 Irving Ave, Syracuse, New York |
| 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 |
|---|---|---|---|
| 1063496594 | NPI | - | NPPES |
| 012296800 | Medicaid | FL | |
| 64252711 | Medicaid | KY | |
| 03427103 | Medicaid | NY | |
| 200111660 | Medicaid | IN |
| Facility Name | Location | Facility Type |
|---|---|---|
| Shands At Univ Of Fl Outpatient Dialysis | Gainesville, FL | Dialysis facility |
| Uf Health Shands Hospital | Gainesville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Clinical Practice Association Inc | 0345146254 | 1658 |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence Raymond Shoemaker, MD 725 Irving Ave, Syracuse, NY 13210-1603 Ph: (315) 464-6340 | Lawrence Raymond Shoemaker, MD 725 Irving Ave, Syracuse, NY 13210-1603 Ph: (315) 464-6340 |
Ms. Bonnie Lee Marr I, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 736 Irving Ave Ste 9100, Syracuse, NY 13210 Phone: 315-470-7379 Fax: 315-470-2923 | |
Dr. David William Hansen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 Phone: 315-464-5726 Fax: 315-464-2510 | |
Dr. Audrey Victoria Vandewall, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-408-5854 | |
Shauna Thariath, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 725 East Adams St, 4th Fl, Syracuse, NY 13210 Phone: 315-464-5831 Fax: 315-464-2030 | |
Dr. Faruk Oktem, Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 725 Irving Ave, Ste 805, Syracuse, NY 13210 Phone: 315-464-6340 Fax: 315-464-6329 | |
Dr. Aisha Sultana Baig, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 750 East Adam St, Syracuse, NY 13210 Phone: 315-464-6323 Fax: 315-464-6322 | |
Megan A Pinnamaneni, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 750 E Adams St, Syracuse, NY 13210 Phone: 315-464-5420 |