Dr Lara M Powers, MD | |
1409 Cleveland Ave, Marinette, WI 54143-3918 | |
(715) 732-0832 | |
Not Available |
Full Name | Dr Lara M Powers |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 28 Years |
Location | 1409 Cleveland Ave, Marinette, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730176140 | NPI | - | NPPES |
34346300 | Medicaid | WI | |
P00104680 | Other | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 45322020 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Vincent Hospital | Green bay, WI | Hospital |
St Mary's Hospital Medical Center | Green bay, WI | Hospital |
Bay Area Medical Center | Marinette, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Vincent Hospital-hospital Sisters-third Order Of St Francis | 5799694675 | 546 |
Entity Name | Prevea Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034 |
Entity Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
Mailing Address | Practice Location Address |
---|---|
Dr Lara M Powers, MD 1409 Cleveland Ave, Marinette, WI 54143-3918 Ph: (920) 496-4700 | Dr Lara M Powers, MD 1409 Cleveland Ave, Marinette, WI 54143-3918 Ph: (715) 732-0832 |
Christopher B Kordiyak, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3200 Shore Dr, Suite 4, Marinette, WI 54143 Phone: 715-732-8610 Fax: 715-732-8650 | |
James W Opoien, MD PHD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2820 Roosevelt Road, Marinette, WI 54143 Phone: 715-735-5225 Fax: 715-735-5388 | |
Dr. Mridani Choudhury, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4061 Old Peshtigo Rd, Marinette, WI 54143 Phone: 715-732-8130 Fax: 715-732-8131 | |
Jon L Simmons, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2820 Roosevelt Road, Marinette, WI 54143 Phone: 715-735-5225 Fax: 715-735-5388 | |
Dr. Debora Elena Bensi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4061 Old Peshtigo Rd, Marinette, WI 54143 Phone: 715-732-8000 Fax: 715-732-8131 | |
Sarwat Jabeen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3123 Shore Dr, Suite 102, Marinette, WI 54143 Phone: 715-732-2299 | |
Arjun Raval, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 4061 Old Peshtigo Rd, Marinette, WI 54143 Phone: 715-732-8050 |