Ian Stormont, MD | |
507 S Monroe St, Lancaster, WI 53813 | |
(608) 723-2143 | |
Not Available |
Full Name | Ian Stormont |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 15 Years |
Location | 507 S Monroe St, Lancaster, Wisconsin |
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 |
---|---|---|---|
1184966400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 68791 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital Of Lafayette County | Darlington, WI | Hospital |
Grant Regional Health Center | Lancaster, WI | Hospital |
Southwest Health Center | Platteville, WI | Hospital |
University Of Wi Hospitals & Clinics Authority | Madison, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lafayette County | 9436054772 | 23 |
Entity Name | Lafayette County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114987054 PECOS PAC ID: 9436054772 Enrollment ID: O20031201000476 |
Entity Name | Grant Regional Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255339867 PECOS PAC ID: 9638079445 Enrollment ID: O20040109000282 |
Entity Name | Lafayette County |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1114987054 PECOS PAC ID: 9436054772 Enrollment ID: O20061104000561 |
Entity Name | Grant Regional Health Center Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1255339867 PECOS PAC ID: 9638079445 Enrollment ID: O20160229002869 |
Mailing Address | Practice Location Address |
---|---|
Ian Stormont, MD 507 S Monroe St, Lancaster, WI 53813-2054 Ph: (608) 723-2143 | Ian Stormont, MD 507 S Monroe St, Lancaster, WI 53813 Ph: (608) 723-2143 |