Paul J Lascuna (NPI# 1124396957, PAC ID# 5193966588) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1124396957 |
| PAC ID by PECOS | 5193966588 |
| Professional Enrollment ID | I20160413000909 |
| Full Name | Paul J Lascuna |
| Organization Legal Name | SOUTHLAND OPTIM JENKINS EMERGENCY MEDICAL SERVICES, LLC |
| Address |
931 E Winthrope Ave Millen GA 30442-1839 |
| Phone Number | 9125571207 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9537461538 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 111312 | OPTIM MEDICAL CENTER - SCREVEN |
| 111311 | JENKINS COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 931 E Winthrope Ave, Millen, GA 30442-1839 | 9125571207 | SOUTHLAND OPTIM JENKINS EMERGENCY MEDICAL SERVICES, LLC |
| 215 Mims Rd, Sylvania, GA 30467-1994 | 9125571207 | SOUTHLAND OPTIM SCREVEN EMERGENCY MEDICAL SERVICES LLC |
| Organization Legal Name | SOUTHLAND OPTIM JENKINS EMERGENCY MEDICAL SERVICES, LLC |
| Physicians | 1 |
| Street Address |
931 E WINTHROPE AVE |
| City | MILLEN |
| State | GA |
| Zip | 30442-1839 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Prakul Chandra | Family Medicine | 931 E Winthrope Ave, Millen, GA 30442-1839 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie G. Bird | Nurse Practitioner | Screven County Hospital LLC | 961 E Winthrope Ave, Millen, GA 30442-1839 |
| Heywood K Gay | Internal Medicine | Screven County Hospital LLC | 961 E Winthrope Ave, Millen, GA 30442-1839 |
| Billie S Stout | Nurse Practitioner | East Georgia Healthcare Center, Inc. | 1075 E Winthrope Ave, Millen, GA 30442-6766 |
| City | MILLEN |
| Zip Code | 30442 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MILLEN + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.