Mary C Lally, BMBCH | |
901 Montgomery St, Decorah, IA 52101-2325 | |
(563) 382-2911 | |
(563) 387-3102 |
Full Name | Mary C Lally |
---|---|
Gender | Female |
Speciality | Hospitalist |
Experience | 14 Years |
Location | 901 Montgomery St, Decorah, Iowa |
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 |
---|---|---|---|
1417242587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 42083 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chi Health St. Elizabeth | Lincoln, NE | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chi Health Clinic Specialty Llc | 4789098443 | 248 |
Entity Name | The Physician Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437184652 PECOS PAC ID: 3476453267 Enrollment ID: O20040128001100 |
Entity Name | Chi Health Clinic Specialty Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285138065 PECOS PAC ID: 4789098443 Enrollment ID: O20210121000492 |
Mailing Address | Practice Location Address |
---|---|
Mary C Lally, BMBCH 901 Montgomery St, Decorah, IA 52101-2325 Ph: (563) 382-2911 | Mary C Lally, BMBCH 901 Montgomery St, Decorah, IA 52101-2325 Ph: (563) 382-2911 |
Eric William Svestka, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-2911 | |
Paul G Wenner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Montgomery Street, Winneshiek Medical Center, Decorah, IA 52101 Phone: 563-382-2911 Fax: 563-387-3102 | |
Lisa A. Zittergruen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-2911 Fax: 563-382-4143 | |
Kent William Svestka, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-2911 | |
Kevin L Sand, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 901 Montgomery St, Decorah, IA 52101 Phone: 563-382-9671 Fax: 563-382-5015 | |
Kurt A Swanson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1830 State Highway 9, Decorah, IA 52101 Phone: 563-382-3140 | |
Ian J Stock, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1830 State Highway 9, Decorah, IA 52101 Phone: 563-382-3140 |