| Mrs Lisa Waggoner Barker, MD | |
|
2061 Collier Pkwy, Land O Lakes, FL 34639-5202 | |
| (727) 845-5707 | |
| (813) 501-8250 |
| Full Name | Mrs Lisa Waggoner Barker |
|---|---|
| Gender | Female |
| Speciality | Surgery - Hospice And Palliative Medicine |
| Location | 2061 Collier Pkwy, Land O Lakes, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205807500 | NPI | - | NPPES |
| 000000045747 | Other | BLUE CROSS AND BLUE SHIELD | |
| 000000583695 | Other | BLUE CROSS AND BLUE SHIELD | |
| 64306160 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 30616 (Kentucky) | Secondary |
| 2086H0002X | Surgery - Hospice And Palliative Medicine | ME128980 (Florida) | Primary |
| Entity Name | Gulfside Palliative Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750531489 PECOS PAC ID: 3678611837 Enrollment ID: O20091109000107 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa Waggoner Barker, MD 2061 Collier Pkwy, Land O Lakes, FL 34639-5202 Ph: (727) 845-5707 | Mrs Lisa Waggoner Barker, MD 2061 Collier Pkwy, Land O Lakes, FL 34639-5202 Ph: (727) 845-5707 |
Susan M Apte, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9441 Health Center Dr, Land O Lakes, FL 34637 Phone: 440-854-0217 | |
Dr. Lou E Macmanus, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2609 20 Mile Level Rd, Land O Lakes, FL 34639 Phone: 813-949-5325 Fax: 813-949-5325 |