| Prabin Thakuri, AA | |
|
410 S 11th St, Lake Wales, FL 33853-4203 | |
| (863) 676-1433 | |
| Not Available |
| Full Name | Prabin Thakuri |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 17 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 |
|---|---|---|---|
| 1548595259 | NPI | - | NPPES |
| AA46 | Other | FL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | AA46 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Lake Wales | Lake wales, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ams National Llc | 3870813025 | 240 |
| Entity Name | North Tampa Anesthesia Consultants |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144216433 PECOS PAC ID: 2860474483 Enrollment ID: O20040607000186 |
| Entity Name | Ams National Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316330830 PECOS PAC ID: 3870813025 Enrollment ID: O20150529000613 |
| Mailing Address | Practice Location Address |
|---|---|
| Prabin Thakuri, AA 8739 Nw 38th St Apt 228, Sunrise, FL 33351-1502 Ph: (612) 270-9975 | Prabin Thakuri, AA 410 S 11th St, Lake Wales, FL 33853-4203 Ph: (863) 676-1433 |
Mr. Matt Moraes, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 410 S 11th St, Lake Wales, FL 33853 Phone: 863-679-6814 Fax: 863-679-6859 | |
Wenjun Wang Martin, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 410 S 11th St, Lake Wales, FL 33853 Phone: 863-402-0064 |