Dr Ladd Daniel Lake, MD | |
601 W Leota St, North Platte, NE 69101-6525 | |
(308) 696-7491 | |
(308) 696-7432 |
Full Name | Dr Ladd Daniel Lake |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 27 Years |
Location | 601 W Leota St, North Platte, Nebraska |
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 |
---|---|---|---|
1023076874 | NPI | - | NPPES |
243897 | Other | NE | MIDLANDS CHOICE |
0585794 | Medicaid | IA | |
1603089 | Other | NE | SHARE ADVANTAGE |
605082700 | Other | NE | US DEPARTMENT OF LABOR |
04192 | Other | NE | BC/BS OF NEBRASKA |
10025186700 | Medicaid | NE | |
20050 | Other | IA | WELLMARK BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 22147 (Nebraska) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Great Plains Health | North platte, NE | Hospital |
Community Hospital | Mccook, NE | Hospital |
Perkins County Health Services | Grant, NE | Hospital |
Jennie M Melham Memorial Medical Center | Broken bow, NE | Hospital |
Dundy County Hospital | Benkelman, NE | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology Services, P.c. | 5395710800 | 5 |
Entity Name | Radiology Services, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851476436 PECOS PAC ID: 5395710800 Enrollment ID: O20040828000148 |
Mailing Address | Practice Location Address |
---|---|
Dr Ladd Daniel Lake, MD Po Box 362, North Platte, NE 69103-0362 Ph: (866) 477-7013 | Dr Ladd Daniel Lake, MD 601 W Leota St, North Platte, NE 69101-6525 Ph: (308) 696-7491 |
Dr. Todd E Hlavaty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 601 W Leota St, North Platte, NE 69101 Phone: 308-696-7741 | |
Jed T Hollingsworth, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 601 W Leota St, North Platte, NE 69101 Phone: 308-568-7470 Fax: 308-535-3441 | |
Dr. David Clark Hatch, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 601 W Leota St, North Platte, NE 69101 Phone: 308-647-6444 Fax: 308-647-6433 |