| Emma Lake, PA | |
|
905 N Main St, Adrian, MI 49221-2173 | |
| (517) 295-1066 | |
| Not Available |
| Full Name | Emma Lake |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 905 N Main St, Adrian, Michigan |
| 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 |
|---|---|---|---|
| 1891363974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Forbes Hospital | Monroeville, PA | Hospital |
| Jefferson Hospital | Jefferson hills, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ahn Observation Group, Llc | 1557753811 | 28 |
| Entity Name | Ahn Emergency Group of Forbes Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235554692 PECOS PAC ID: 4385877216 Enrollment ID: O20140430001438 |
| Entity Name | Ahn Emergency Group of Erie County Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336564798 PECOS PAC ID: 3072746585 Enrollment ID: O20140508000746 |
| Entity Name | Ahn Emergency Group of Jefferson Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235518499 PECOS PAC ID: 0345552527 Enrollment ID: O20150630002216 |
| Entity Name | Ahn Observation Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437814696 PECOS PAC ID: 1557753811 Enrollment ID: O20220118001466 |
| Mailing Address | Practice Location Address |
|---|---|
| Emma Lake, PA 14671 Telegraph Rd, Redford, MI 48239-3300 Ph: (313) 948-3055 | Emma Lake, PA 905 N Main St, Adrian, MI 49221-2173 Ph: (517) 295-1066 |
Selina Louise Volpone, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1136 Country Club Rd Unit C, Adrian, MI 49221 Phone: 517-366-5110 |
Shimea Lynn Hunt, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 781 Lakeshire Trl, Adrian, MI 49221 Phone: 517-265-0600 Fax: 517-263-0024 |
Mrs. Lora Jeanette Manders, MA, LLPC, CAADC, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1200 N Main St, Adrian, MI 49221 Phone: 517-263-1800 |
Sasha Aide, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5640 N Adrian Hwy, Adrian, MI 49221 Phone: 989-450-6373 |
Salah Eldein Mansour, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 142 E Maumee St Ste 3, Adrian, MI 49221 Phone: 313-388-1666 Fax: 313-388-6961 |
Kevin Siemen, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 777 Kimole Ln Ste 220, Adrian, MI 49221 Phone: 517-263-6464 |
Mrs. Savithri Kakani, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2727 E Beecher St, Adrian, MI 49221 Phone: 517-265-3900 |