Lake Point Medical Group LLC
A Medicare group practice based in Lakewood, OH: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6002177342), with 6 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6002177342
- Provider type
- DME Supplier - Multi-Specialty - Physician, Part B Supplier - Clinic/Group Practice
- Enrolled in
- OH
- Enrollments
- 3
- Group size
- 6 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20180228002221 | OH | Part B Supplier - Clinic/Group Practice | 1235646191 |
| O20191001003315 | OH | DME Supplier - Multi-Specialty - Physician | 1235646191 |
| O20191001002409 | OH | DME Supplier - Multi-Specialty - Physician | 1982161527 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Lake Point Medical Group, LLC
- Podiatrist
- Lakewood, OH
- NPI 1235646191
-
Lake Point Medical Group, LLC
- Podiatrist
- Cleveland, OH
- NPI 1982161527
Practice locations
- Cleveland, OH2
- Lakewood, OH2
Clinicians 6
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (6).
-
Mina Ghassemi
- Foot & Ankle Surgery Podiatrist
- Lakewood, OH
- NPI 1447747597
-
Michelle Hisako Haldeman, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Lakewood, OH
- NPI 1669851812
-
Elizabeth R. Khuri, MA,LPC
- Mental Health Counselor
- Beachwood, OH
- NPI 1265988133
-
Isaac Korb
- Podiatrist
- Middleburg Heights, OH
- NPI 1164171377
-
Kristina Marie Kovach, DPM
- Podiatrist
- Lakewood, OH
- NPI 1669465142
-
Amber Stonehouse Tully, M.D.
- Family Medicine Physician
- Rocky River, OH
- NPI 1215144506
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.