| Pratibha Lumb, MD | |
|
630 N. Main Street, Williston, FL 32696 | |
| (352) 528-0587 | |
| (352) 528-4834 |
| Full Name | Pratibha Lumb |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 630 N. Main Street, Williston, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801157185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | TRN#17328 (Florida) | Secondary |
| 207Q00000X | Family Medicine | ME122011 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
| North Florida Regional Medical Center | Gainesville, FL | Hospital |
| Lake City Medical Center | Lake city, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Internal Medicine Pa | 8022912914 | 39 |
| Entity Name | Hospital Internal Medicine Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356495204 PECOS PAC ID: 8022912914 Enrollment ID: O20031121000689 |
| Mailing Address | Practice Location Address |
|---|---|
| Pratibha Lumb, MD 23343 Nw County Road 236, High Springs, FL 32643-9669 Ph: (386) 454-0698 | Pratibha Lumb, MD 630 N. Main Street, Williston, FL 32696 Ph: (352) 528-0587 |
Dr. Kolli Prabhakara Reddy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 Sw 5th Ave, Williston, FL 32696 Phone: 352-528-3770 Fax: 352-528-0691 | |
Chantal Marie Nichols, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 630 N Main St, Williston, FL 32696 Phone: 352-528-0587 Fax: 352-528-4834 |