Michael L Wolak (NPI# 1235323981, PAC ID# 6204997786) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1235323981 |
| PAC ID by PECOS | 6204997786 |
| Professional Enrollment ID | I20190515001978 |
| Full Name | Michael L Wolak |
| Organization Legal Name | SOUTHEASTERN REGIONAL PHYSICIAN SERVICES |
| Address |
4901 Dawn Dr Suite 3400 Lumberton NC 28360-8288 |
| Phone Number | 9106714205 |
| Gender | M |
| Medical School | CHICAGO COLLEGE OF MEDICINE AND SURGERY |
| Graduation Year | 2002 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 7012058548 |
| Number of Group Practice Members | 114 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340050 | SOUTHEASTERN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4901 Dawn Dr, Suite 3400, Lumberton, NC 28360-8288 | 9106714205 | SOUTHEASTERN REGIONAL PHYSICIAN SERVICES |
| Organization Legal Name | SOUTHEASTERN REGIONAL PHYSICIAN SERVICES |
| Physicians | 106 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abby Alysse Gaskell | Physician Assistant | Southeastern Regional Physician Services | 800 Martin Luther King Jr Dr, Lumberton, NC 28358-6937 |
| Steven K Jernigan | Nurse Practitioner | Southeastern Regional Physician Services | 9858 Wr Lathan Dr, Clarkton, NC 28433-9255 |
| Joshua J Ruiz | Internal Medicine | Southeastern Regional Physician Services | 1200 Pine Run Dr, Lumberton, NC 28358-2180 |
| Andrew M Freeman | Family Medicine | Southeastern Regional Physician Services | 730 Oakridge Blvd, Lumberton, NC 28358-2324 |
| Debra B Beasley | Nurse Practitioner | Southeastern Regional Physician Services | 295 W 27th St, Lumberton, NC 28358-3016 |
| Melanie K Bauer | Physician Assistant | Southeastern Regional Physician Services | 105 W 27th St, Lumberton, NC 28358-3075 |
| Roberto Jose Arias Gautreaux | General Surgery | Southeastern Regional Physician Services | 2934 N Elm St, Suite E, Lumberton, NC 28358-2986 |
| Patricia Lyn Matto | Family Medicine | Southeastern Regional Physician Services | 2905 N Elm St, Lumberton, NC 28358-2982 |
| Saksith Smithason | Neurosurgery | Southeastern Regional Physician Services | 4901 Dawn Dr, Suite 3400, Lumberton, NC 28360-8288 |
| Tonna M Wyatt | Nurse Practitioner | Southeastern Regional Physician Services | 5070 Fayetteville Rd, Lumberton, NC 28358-2108 |
| Street Address |
4901 DAWN DR SUITE 3400 |
| City | LUMBERTON |
| State | NC |
| Zip | 28360-8288 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Saksith Smithason | Neurosurgery | Southeastern Regional Physician Services | 4901 Dawn Dr, Suite 3400, Lumberton, NC 28360-8288 |
| Nelda E Beck | Certified Registered Nurse Anesthetist (crna) | Tranquil Anesthesiology LLC | 4901 Dawn Dr, Suite 1100, Lumberton, NC 28360-8288 |
| Natasha E Acosta Diaz | Neurology | Southeastern Regional Physician Services | 4901 Dawn Dr, Suite 3400, Lumberton, NC 28360-8288 |
| David Dalsimer | Hand Surgery | Southeastern Regional Physician Services | 4901 Dawn Dr, Lumberton, NC 28360-8287 |
| Ciara Branch | Nurse Practitioner | Southeastern Regional Physician Services | 4901 Dawn Dr, Lumberton, NC 28360-8287 |
| Brooke H Grooms | Nurse Practitioner | Southeastern Regional Physician Services | 4901 Dawn Dr, Suite 3400, Lumberton, NC 28360-8288 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Ronald Beasley | Internal Medicine | County of Robeson Office of Treasurer | 460 Country Club Rd, Lumberton, NC 28360-9494 |
| Elizabeth Helen Aronin | Nurse Practitioner | County of Robeson Office of Treasurer | 460 Country Club Rd, Lumberton, NC 28360-9494 |
| Walter E Neal Jr. | Obstetrics/gynecology | County of Robeson Office of Treasurer | 460 Country Club Rd, Lumberton, NC 28360-9494 |
| Chiara Lynn Carter | Physician Assistant | County of Robeson Office of Treasurer | 460 Country Club Rd, Lumberton, NC 28360-9494 |
| Lindsay Michelle Henderson | Nurse Practitioner | County of Robeson Office of Treasurer | 460 Country Club Rd, Lumberton, NC 28360-9494 |
| Connie Rose Freeman | Nurse Practitioner | County of Robeson Office of Treasurer | 460 Country Club Rd, Lumberton, NC 28360-9494 |
| City | LUMBERTON |
| Zip Code | 28360 |
| Specialty | NEUROSURGERY |
| City + Specialty | LUMBERTON + NEUROSURGERY |
Please comment or provide details below to improve the information on Michael L Wolak.
| 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.