Mario Dante Lacerna, MD | |
1501 W Chisholm St, Alpena, MI 49707-1401 | |
(888) 356-7151 | |
Not Available |
Full Name | Mario Dante Lacerna |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 32 Years |
Location | 1501 W Chisholm St, Alpena, Michigan |
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 |
---|---|---|---|
1326130725 | NPI | - | NPPES |
4303114 | Medicaid | MI | |
4375200 | Medicaid | FL | |
FT108Y | Other | FL | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | ME111595 (Florida) | Secondary |
2085R0001X | Radiology - Radiation Oncology | 4301059592 (Michigan) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Midmichigan Medical Center - Alpena | Alpena, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeastern Michigan Cancer Center | 0840285904 | 6 |
Entity Name | Mymichigan Medical Center Alpena |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508332792 PECOS PAC ID: 8527969922 Enrollment ID: O20040415000495 |
Entity Name | Radiation Oncology Alliance |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477587061 PECOS PAC ID: 5890780951 Enrollment ID: O20040417000471 |
Entity Name | Northeastern Michigan Cancer Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275567869 PECOS PAC ID: 0840285904 Enrollment ID: O20040417000515 |
Mailing Address | Practice Location Address |
---|---|
Mario Dante Lacerna, MD 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | Mario Dante Lacerna, MD 1501 W Chisholm St, Alpena, MI 49707-1401 Ph: (888) 356-7151 |
James Weeks, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1501 W Chisholm St, Alpena, MI 49707 Phone: 989-356-7390 | |
Dr. Ben Edward Eggleston, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 704 W Washington Ave, Alpena, MI 49707 Phone: 952-595-1100 Fax: 612-294-4903 | |
Dr. Charles S Spann, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1501 W Chisholm St, Alpena, MI 49707 Phone: 989-356-7390 | |
Kyle Clifford Cuneo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1501 West Chisholm St, Alpena, MI 49707 Phone: 888-356-7151 | |
Julie M Forstner, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1501 W Chisholm St, Alpena, MI 49707 Phone: 989-356-7353 |