Lara R Clary-lantis, DO | |
5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | |
(734) 712-8676 | |
Not Available |
Full Name | Lara R Clary-lantis |
---|---|
Gender | Female |
Speciality | Hospice/palliative Care |
Experience | 23 Years |
Location | 5301 E Huron River Dr, Ypsilanti, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093894164 | NPI | - | NPPES |
000000344854 | Other | KY | BLUE CROSS/SHIELD PIN |
64087901 | Medicaid | KY | |
2509968 | Other | OH | OHIO MEDICAID PIN |
P00168867 | Other | KY | RAILROAD MEDICARE PIN |
P00734129 | Other | MI | RAIL ROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QH0002X | Family Medicine - Hospice And Palliative Medicine | 5101018066 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Marquette General Hospital | Marquette, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dlp Marquette Physician Practices Inc | 9931359601 | 151 |
Entity Name | Iha Health Services Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
Entity Name | Dlp Marquette Physician Practices Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487902995 PECOS PAC ID: 9931359601 Enrollment ID: O20121016000312 |
Mailing Address | Practice Location Address |
---|---|
Lara R Clary-lantis, DO 24 Frank Lloyd Wright Dr, Po Box 0446 - Lobby J, Ann Arbor, MI 48105-9484 Ph: (734) 747-6766 | Lara R Clary-lantis, DO 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 Ph: (734) 712-8676 |
Ryan Balacanao Huerto, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Arnet St, Ypsilanti, MI 48198 Phone: 734-482-6221 | |
Christine Theresa Cigolle, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Arnett St, Suite 200, Ypsilanti, MI 48198 Phone: 734-482-6221 | |
Dr. Michael Washburn Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3145 W Clark Rd, Suite 201, Ypsilanti, MI 48197 Phone: 734-528-5700 Fax: 734-572-9100 | |
Laura Emily Ann Lee, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Arnet St, Ypsilanti, MI 48198 Phone: 734-482-6221 | |
Ross Philip Schmaeman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4940 W Clark Rd Ste 100, Ypsilanti, MI 48197 Phone: 734-971-1188 Fax: 734-971-3658 | |
Dr. Robert Breakey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4940 W Clark Rd, Ste 100, Ypsilanti, MI 48197 Phone: 734-971-1188 Fax: 734-971-3658 | |
Ellen H. Gryniewicz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3145 W Clark Rd, Suite 401, Ypsilanti, MI 48197 Phone: 734-528-5700 Fax: 734-528-5701 |