| Michale D Lakes, DO | |
|
4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | |
| (937) 384-8798 | |
| (937) 384-8729 |
| Full Name | Michale D Lakes |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 26 Years |
| Location | 4000 Miamisburg Centerville Rd, Miamisburg, Ohio |
| 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 |
|---|---|---|---|
| 1386622025 | NPI | - | NPPES |
| 2257267 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 34007459 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kettering Medical Center - Sycamore | Miamisburg, OH | Hospital |
| Grandview And Southview Hospitals | Dayton, OH | Hospital |
| Kettering Medical Center | Kettering, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Medicine Specialists Inc | 7315851359 | 109 |
| Entity Name | Emergency Medicine Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588640791 PECOS PAC ID: 7315851359 Enrollment ID: O20031114000252 |
| Entity Name | App Of Ohio Ed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619418696 PECOS PAC ID: 6103102959 Enrollment ID: O20170411001544 |
| Mailing Address | Practice Location Address |
|---|---|
| Michale D Lakes, DO 3131 Newmark Dr Ste 220, Miamisburg, OH 45342-5400 Ph: (937) 436-4658 | Michale D Lakes, DO 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 Ph: (937) 384-8798 |
Jason F. Tanner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3131 Newmark Dr Ste 210, Miamisburg, OH 45342 Phone: 937-438-8910 | |
Martha Anne Johnston, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 415 Byers Rd, Ste 300, Miamisburg, OH 45342 Phone: 937-866-2494 Fax: 937-866-8494 |