Lake Mi Mobile Doctors Pc is a
Internal Medicine - Geriatric Medicine based in San Antonio, Texas. Lake Mi Mobile Doctors Pc is licensed to practice in * (Not Available) (license number ) and their current practice location is
3201 Cherry Ridge St, Suite C-315, San Antonio, Texas. It can be reached at their office (for appointments etc.) via phone at
(210) 319-5487.
NPI number for Lake Mi Mobile Doctors Pc is 1134472244 and their current mailing address is 3319 N. Elston Ave., Suite 200, Chicago, Illinois. Lake Mi Mobile Doctors Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1134472244.
Healthcare Provider's Profile
| Full Name | Lake Mi Mobile Doctors Pc |
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| Type | Facility |
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| Speciality | Internal Medicine - Geriatric Medicine |
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| Location | 3201 Cherry Ridge St, San Antonio, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134472244
- Provider Enumeration Date: 10/26/2012
- Last Update Date: 10/26/2012
Medical Identifiers
Medical identifiers for Lake Mi Mobile Doctors Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134472244 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lake Mi Mobile Doctors Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lake Mi Mobile Doctors Pc
3319 N. Elston Ave., Suite 200,
Chicago, IL 60618-5811
Ph: (773) 751-7200 | Lake Mi Mobile Doctors Pc
3201 Cherry Ridge St, Suite C-315,
San Antonio, TX 78230-4823
Ph: (210) 319-5487 |
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