Dr Robert John Laciak, MD in Corvallis, OR

Dr Robert John Laciak, MD is a medicare enrolled "Urology" physician in Corvallis, Oregon. He went to Chicago College Of Medicine And Surgery and graduated in 2006 and has 18 years of diverse experience with area of expertise as Urology. He is a member of the group practice Good Samaritan Hospital Corvallis and his current practice location is 990 Nw Circle Blvd, Suite 102, Corvallis, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 768-5486.

Dr Robert John Laciak is licensed to practice in Oregon (license number MD152679) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114196169.

Contact Information

	Dr Robert John Laciak, MD
	990 Nw Circle Blvd, Suite 102, Corvallis, OR 97330-1967
	(541) 768-5486
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Robert John Laciak
Gender	Male
Speciality	Urology
Experience	18 Years
Location	990 Nw Circle Blvd, Corvallis, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Robert John Laciak attended and graduated from Chicago College Of Medicine And Surgery in 2006

NPI Data:

NPI Number: 1114196169
Provider Enumeration Date: 02/25/2008
Last Update Date: 11/05/2020

Medicare PECOS Information:

PECOS PAC ID: 2062672264
Enrollment ID: I20120326000714

Medical Identifiers

Medical identifiers for Dr Robert John Laciak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114196169	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	6851346-1205 (Utah)	Secondary
208800000X	Urology	MD152679 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Good Samaritan Regional Medical Center	Corvallis, OR	Hospital
Samaritan Pacific Community Hospital	Newport, OR	Hospital
Samaritan Lebanon Community Hospital	Lebanon, OR	Hospital
Samaritan North Lincoln Hospital	Lincoln city, OR	Hospital
Samaritan Albany General Hospital	Albany, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Good Samaritan Hospital Corvallis	1557270725	333

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Robert John Laciak allows following entities to bill medicare on his behalf.

Entity Name	Good Samaritan Hospital Corvallis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962453134 PECOS PAC ID: 1557270725 Enrollment ID: O20031125000163

Entity Name	Samaritan Pacific Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174888010 PECOS PAC ID: 2466353529 Enrollment ID: O20040204000304

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Robert John Laciak is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Robert John Laciak, MD Po Box 1189, Corvallis, OR 97339-1189 Ph: () -	Dr Robert John Laciak, MD 990 Nw Circle Blvd, Suite 102, Corvallis, OR 97330-1967 Ph: (541) 768-5486

Reviews and Comments

Urology Doctors in Corvallis, OR

Ms. Mary Ochadlik, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 444 Nw Elks Dr, Corvallis, OR 97330 Phone: 541-754-1150
Layron O Long, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 990 Nw Circle Blvd, Suite 102, Corvallis, OR 97330 Phone: 541-768-5486
James Jason Crane, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 990 Nw Circle Blvd Ste 102, Corvallis, OR 97330 Phone: 541-768-5486
Michael D Brant, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330 Phone: 541-754-1150

Dr Robert John Laciak, MD - Medicare Urology in Corvallis, OR