Dr Zachary R Laste, MD | |
45 Tower Ct Ste C, Gurnee, IL 60031 | |
(847) 623-3200 | |
Not Available |
Full Name | Dr Zachary R Laste |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 13 Years |
Location | 45 Tower Ct Ste C, Gurnee, 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 |
---|---|---|---|
1417243866 | NPI | - | NPPES |
100033998 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 59922 (Wisconsin) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 036-158668 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
Aurora Medical Center Kenosha | Kenosha, WI | Hospital |
Aurora Medical Center - Grafton | Grafton, WI | Hospital |
Aurora Medical Center - Summit | Summit, WI | Hospital |
Aurora Medical Ctr Oshkosh | Oshkosh, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Advanced Healthcare Inc | 3375625833 | 928 |
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Lakeshore Medical Clinic Llc | 7719890730 | 293 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Lakeshore Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Entity Name | The Medical College Of Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Entity Name | Aurora Advanced Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
Mailing Address | Practice Location Address |
---|---|
Dr Zachary R Laste, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Dr Zachary R Laste, MD 45 Tower Ct Ste C, Gurnee, IL 60031 Ph: (847) 623-3200 |
Steven M. Nydick, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 60 S Greenleaf St, Gurnee, IL 60031 Phone: 847-360-1674 | |
Dr. Brian E Lundeen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 45 Tower Ct Ste C, Gurnee, IL 60031 Phone: 847-623-3200 | |
Dr. Parvathy D Kurup, MD Radiology Medicare: Medicare Enrolled Practice Location: 95 N Greenleaf St, Suite A, Gurnee, IL 60031 Phone: 847-623-2114 Fax: 847-623-4628 | |
Matthew D. Pearce, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 60 S Greenleaf St, Gurnee, IL 60031 Phone: 847-360-1674 | |
Dr. Yashbir Mehta, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 95 N Greenleaf St, Gurnee, IL 60031 Phone: 847-623-2114 | |
Dr. Michael Timins, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 S Greenleaf St Ste 401, Gurnee, IL 60031 Phone: 314-238-5260 Fax: 314-821-1833 |