Dr Malan Hasula Kern, MD | |
1240 N Milwaukee Ave Ste A, Libertyville, IL 60048-1307 | |
(847) 367-5575 | |
(847) 367-5579 |
Full Name | Dr Malan Hasula Kern |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 3 Years |
Location | 1240 N Milwaukee Ave Ste A, Libertyville, Illinois |
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 |
---|---|---|---|
1538690037 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | 036.155630 (Illinois) | Secondary |
207N00000X | Dermatology | 036.155630 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Forefront Dermatology | 3779471701 | 483 |
Entity Name | Forefront Dermatology Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053783308 PECOS PAC ID: 3779471701 Enrollment ID: O20151130001424 |
Mailing Address | Practice Location Address |
---|---|
Dr Malan Hasula Kern, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Dr Malan Hasula Kern, MD 1240 N Milwaukee Ave Ste A, Libertyville, IL 60048-1307 Ph: (847) 367-5575 |
J Eric D Castro, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1105 W Park Ave Ste 7, Libertyville, IL 60048 Phone: 847-773-0369 Fax: 847-201-2573 | |
Dr. Martha P Arroyo, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1240 N Milwaukee Ave Ste A, Libertyville, IL 60048 Phone: 847-367-5575 Fax: 847-367-5579 | |
Melinda E Simon, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 950 Technology Way, Suite 150, Libertyville, IL 60048 Phone: 847-926-0106 |