Dr Mark Lanzerotte, MD | |
3801 Ireland Grove Rd, Bloomington, IL 61704-5297 | |
(309) 664-0101 | |
Not Available |
Full Name | Dr Mark Lanzerotte |
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Gender | Male |
Speciality | Anesthesiology |
Experience | 33 Years |
Location | 3801 Ireland Grove Rd, Bloomington, 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 |
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1013993872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207L00000X | Anesthesiology | 70231 (Tennessee) | Secondary |
207L00000X | Anesthesiology | 036090304 (Illinois) | Primary |
Entity Name | Ambulatory Anesthesiology, Ltd. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053583716 PECOS PAC ID: 7618042359 Enrollment ID: O20080815000065 |
Mailing Address | Practice Location Address |
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Dr Mark Lanzerotte, MD Po Box 489, Bloomington, IL 61702-0489 Ph: (309) 585-0283 | Dr Mark Lanzerotte, MD 3801 Ireland Grove Rd, Bloomington, IL 61704-5297 Ph: (309) 664-0101 |
Benjamin Taimoorazy, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2203 Eastland Dr, Suite 7, Bloomington, IL 61704 Phone: 309-808-1700 Fax: 309-585-2951 | |
Dr. Edmund Ligman, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1505 Eastland Dr, Ll 1400, Bloomington, IL 61701 Phone: 309-663-4700 Fax: 309-665-0575 | |
Dr. Michael Gene Hutmacher, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3 Brookridge Ct, Bloomington, IL 61704 Phone: 309-662-7253 | |
Dr. Amaresh Vydyanathan, MD, MS Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 1015 S Mercer Ave, Bloomington, IL 61701 Phone: 309-662-4321 Fax: 309-661-4532 | |
Dr. John Han, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1505 Eastland Dr, Ll 1400, Bloomington, IL 61701 Phone: 309-663-4700 Fax: 309-665-0575 | |
Dr. Martin J Schroeder, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2203 Hedgewood Dr, Bloomington, IL 61704 Phone: 513-558-4194 Fax: 614-562-9573 |