| Bryan Hartland Lassner, MD | |
|
707 S University Ave, Beaver Dam, WI 53916-3027 | |
| (920) 887-6606 | |
| Not Available |
| Full Name | Bryan Hartland Lassner |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 13 Years |
| Location | 707 S University Ave, Beaver Dam, Wisconsin |
| 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 |
|---|---|---|---|
| 1871859884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 336098920 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | 75454-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaver Dam Community Hospital Dba Marshfield Medical Center - Beaver Dam | Beaver dam, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihc Beaver Dam Emergency Physicians, Llc | 8123129657 | 21 |
| Entity Name | Ihc Beaver Dam Emergency Physicians, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912109836 PECOS PAC ID: 8123129657 Enrollment ID: O20070727000027 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Hartland Lassner, MD 2812 S Delaware Ave, Milwaukee, WI 53207-2515 Ph: (503) 740-2391 | Bryan Hartland Lassner, MD 707 S University Ave, Beaver Dam, WI 53916-3027 Ph: (920) 887-6606 |
Eric Russell Kotal, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-887-6606 | |
Richard T Tovar, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 414-290-6720 Fax: 414-290-6755 | |
Dr. Tonya Rae Neumann, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 414-290-6720 Fax: 414-290-6755 | |
Laura Ellen Correa, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 414-290-6720 Fax: 414-290-6755 | |
Dr. Jeffrey Howard Lovell, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-887-6606 |