| Mr O'shaine Brown, MD | |
|
410 S 11th St, Lake Wales, FL 33853-4203 | |
| (863) 676-1433 | |
| Not Available |
| Full Name | Mr O'shaine Brown |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 8 Years |
| Location | 410 S 11th St, Lake Wales, 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 |
|---|---|---|---|
| 1154826667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME155210 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Lake Wales | Lake wales, FL | Hospital |
| Adventhealth Orlando | Orlando, FL | Hospital |
| Adventhealth Heart Of Florida | Davenport, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Wales Physician Services, Llc | 8426390964 | 20 |
| Entity Name | Lake Wales Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164902797 PECOS PAC ID: 8426390964 Enrollment ID: O20190502000025 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr O'shaine Brown, MD 14410 Shaman Way, Winter Garden, FL 34787-8514 Ph: (954) 305-2646 | Mr O'shaine Brown, MD 410 S 11th St, Lake Wales, FL 33853-4203 Ph: (863) 676-1433 |
Dr. Caroline C Honculada, M D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 425 S 11th St Ste 1, Lake Wales, FL 33853 Phone: 863-679-9494 Fax: 863-679-8866 | |
Dr. Mahesh Gandhi Allam, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1110 Druid Cir, Lake Wales, FL 33853 Phone: 863-877-2411 Fax: 863-354-6617 | |
Dr. Andrei Hastings, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 S 11th St, Lake Wales, FL 33853 Phone: 863-676-1433 | |
Dr. Sunil Nihalani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 S 11th St, Lake Wales, FL 33853 Phone: 863-679-8000 Fax: 863-679-8008 | |
Daniela Patricia Trelles Garcia, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1255 State Road 60 E Ste 300, Lake Wales, FL 33853 Phone: 863-421-7722 | |
Dr. Carolyn D Pass, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1143 State Road 60 E, Lake Wales, FL 33853 Phone: 863-679-8815 Fax: 863-679-8335 |