Dr Jonathan E Lackner, MD | |
100 Jackson Pike, Gallipolis, OH 45631-1560 | |
(855) 446-5937 | |
(740) 446-5958 |
Full Name | Dr Jonathan E Lackner |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 31 Years |
Location | 100 Jackson Pike, Gallipolis, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699790857 | NPI | - | NPPES |
340020617 | Other | NM | RAILROAD MEDICARE |
Z3796 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 99-72 (New Mexico) | Secondary |
208800000X | Urology | 35.140970 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Holzer Medical Center | Gallipolis, OH | Hospital |
Cleveland Clinic Hospital | Weston, FL | Hospital |
Holzer Medical Center Jackson | Jackson, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Holzer Clinic Llc | 5890606008 | 264 |
Entity Name | Holzer Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
Entity Name | Lake Hospital System, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952339996 PECOS PAC ID: 6002713922 Enrollment ID: O20031217000963 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan E Lackner, MD 100 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (855) 446-5937 | Dr Jonathan E Lackner, MD 100 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (855) 446-5937 |
Nicolette M. Jones, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5415 Fax: 740-446-5958 | |
Mel P Simon, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 256 Pinecrest Drive, Gallipolis, OH 45631 Phone: 740-446-0021 Fax: 740-446-4978 |