Dr Cheng H Lo, MD | |
209 9th St Ste 200, Rockford, IL 61104-2235 | |
(779) 696-8799 | |
(779) 696-3352 |
Full Name | Dr Cheng H Lo |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 209 9th St Ste 200, Rockford, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023037934 | NPI | - | NPPES |
02574005 | Medicaid | NY | |
1N0241 | Other | NY | EMPIRE BC.BS |
7187629 | Other | NY | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 232236 (New York) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 036170580 (Illinois) | Primary |
Entity Name | Nuvance Health Medical Practice, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437358033 PECOS PAC ID: 1658468442 Enrollment ID: O20071025000436 |
Mailing Address | Practice Location Address |
---|---|
Dr Cheng H Lo, MD P.o. Box 1559, Stony Brook, NY 11790 Ph: () - | Dr Cheng H Lo, MD 209 9th St Ste 200, Rockford, IL 61104-2235 Ph: (779) 696-8799 |
Jeffrey Andrew Barteau, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 5668 E State St, Rockford, IL 61108 Phone: 815-229-7580 Fax: 815-229-7585 | |
Dacia Aurelia Pickering, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5668 E State St, #2, Rockford, IL 61108 Phone: 815-397-7900 Fax: 815-397-4839 | |
Arvind Mahatme, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7180 Spring Brook Rd, Rockford, IL 61114 Phone: 815-971-2299 Fax: 815-971-9959 | |
Dr. Andrew Paul Hoffman, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 5668 E State St, Rockford, IL 61108 Phone: 815-229-7580 | |
Dr. Jacinto Garcia Obregon, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 535 Roxbury Rd, Rockford, IL 61107 Phone: 815-398-0175 Fax: 815-398-9587 | |
Dr. Vishnu Raj Kumar Mani, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8201 E Riverside Blvd, Rockford, IL 61114 Phone: 815-971-4066 |