| Smitha Sonni, MD | |
|
1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | |
| (863) 680-7000 | |
| (866) 264-8519 |
| Full Name | Smitha Sonni |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 19 Years |
| Location | 1600 Lakeland Hills Blvd, Lakeland, 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 |
|---|---|---|---|
| 1508149410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 50818 (Colorado) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | ME112235 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| John T Mather Memorial Hospital Of Port Jefferson | Port jefferson, NY | Hospital |
| Ns/lij Hs Huntington Hospital | Huntington, NY | Hospital |
| Peconic Bay Medical Center | Riverhead, NY | Hospital |
| Long Island Jewish Medical Center | New hyde park, NY | Hospital |
| Ns/lij Hs Southside Hospital | Bay shore, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore-lij Medical Pc | 3375701568 | 5625 |
| North Shore-lij Medical Pc | 3375701568 | 5625 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20200319001344 |
| Entity Name | Southside Faculty Medical Affiliates University Faculty Prac |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033791058 PECOS PAC ID: 5698175933 Enrollment ID: O20220413002876 |
| Mailing Address | Practice Location Address |
|---|---|
| Smitha Sonni, MD 1600 Lakeland Hills Blvd., Lakeland, FL 33805-3019 Ph: (863) 680-7000 | Smitha Sonni, MD 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 Ph: (863) 680-7000 |
Dr. Kevin James Sawyer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2125 Crystal Grove Dr, Lakeland, FL 33801 Phone: 863-688-2334 | |
Dr. Yelena Kozirovsky, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1420 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 | |
Dr. Michael Larone Campbell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1305 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-688-2334 | |
Michael K Gordon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2115 Crystal Grove Dr, Lakeland, FL 33801 Phone: 863-688-2334 Fax: 863-577-0303 | |
Devashri Patel, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1305 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-688-2334 | |
Jaehoon Bang, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 | |
Dr. Alexandra Osorio, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Lakeland Hills Blvd, Lakeland, FL 33805 Phone: 863-680-7000 Fax: 866-264-8519 |