Thomas F Mientus, MD | |
660 N Westmoreland, Lake Forest Hospital, Lake Forest, IL 60045-1696 | |
(847) 234-0049 | |
(847) 234-1946 |
Full Name | Thomas F Mientus |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 34 Years |
Location | 660 N Westmoreland, Lake Forest, 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 |
---|---|---|---|
1649248824 | NPI | - | NPPES |
220021761 | Other | IL | RR MCR |
0360849066 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036084906 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Illinois Gastroenterology Group Llc | 5193857423 | 121 |
Entity Name | Illinois Gastroenterology Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316277817 PECOS PAC ID: 5193857423 Enrollment ID: O20100721000790 |
Mailing Address | Practice Location Address |
---|---|
Thomas F Mientus, MD 75 Remittance Dr, Ste 1895, Chicago, IL 60675-1895 Ph: (847) 234-0049 | Thomas F Mientus, MD 660 N Westmoreland, Lake Forest Hospital, Lake Forest, IL 60045-1696 Ph: (847) 234-0049 |
Dr. John Chongwon Lee, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-6217 | |
Michael P Viglione, MD PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 660 North Westmoreland, Lake Forest Hospital, Lake Forest, IL 60045 Phone: 847-234-0049 Fax: 847-234-1946 | |
Ricardo S Cajulis, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 660 North Westmoreland, Lake Forest Hospital, Lake Forest, IL 60045 Phone: 847-234-0049 Fax: 847-234-1946 | |
Richard J Clatch, MD PHD Pathology Medicare: Medicare Enrolled Practice Location: 660 North Westmoreland, Lake Forest Hospital, Lake Forest, IL 60045 Phone: 847-234-0049 Fax: 847-234-1946 | |
Cherise Meyerson, Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd # Ll0519, Lake Forest, IL 60045 Phone: 847-535-6218 Fax: 847-535-6237 | |
Dr. Manuel Raul Montez, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1261 Oak Knoll Dr, Lake Forest, IL 60045 Phone: 847-337-4752 | |
Dr. Amalia B Digan, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-234-0049 |