Ladislav Lukacsik, MD is a medicare enrolled "Emergency Medicine" physician in Goreville, Illinois. His current practice location is
525 Lake Shore Dr S, Goreville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 885-0835.
Ladislav Lukacsik is licensed to practice in Illinois (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114997947.
Physician's Profile
Full Name | Ladislav Lukacsik |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 525 Lake Shore Dr S, Goreville, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114997947
- Provider Enumeration Date: 01/24/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5193771897
- Enrollment ID: I20050325000133
Medical Identifiers
Medical identifiers for Ladislav Lukacsik such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114997947 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ladislav Lukacsik allows following entities to bill medicare on his behalf.
Entity Name | Integritas Emergency Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760 |
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Entity Name | Granite City Hospitalist Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669926424 PECOS PAC ID: 8527356591 Enrollment ID: O20161006000282 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ladislav Lukacsik is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ladislav Lukacsik, MD 525 Lake Shore Dr S, Goreville, IL 62939-3178 Ph: (630) 885-0835 | Ladislav Lukacsik, MD 525 Lake Shore Dr S, Goreville, IL 62939-3178 Ph: (630) 885-0835 |
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