Dr Ethelbert M Lara, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Laurium, Michigan. He graduated from medical school in 1976 and has 49 years of diverse experience with area of expertise as Diagnostic Radiology. His current practice location is
205 Osceola St, Laurium, Michigan. You can reach out to his office (for appointments etc.) via phone at
(906) 225-0122.
Dr Ethelbert M Lara is licensed to practice in Michigan (license number 4301039413) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1437232022.
Physician's Profile
| Full Name | Dr Ethelbert M Lara |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 49 Years |
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| Location | 205 Osceola St, Laurium, Michigan |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ethelbert M Lara graduated from medical school in 1976
NPI Data:
- NPI Number: 1437232022
- Provider Enumeration Date: 10/24/2006
- Last Update Date: 08/11/2011
Medicare PECOS Information:
- PECOS PAC ID: 0143244178
- Enrollment ID: I20250804000620
Medical Identifiers
Medical identifiers for Dr Ethelbert M Lara such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437232022 | NPI | - | NPPES |
| 4833513 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301039413 (Michigan) | Primary |
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. Dr Ethelbert M Lara 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 |
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Dr Ethelbert M Lara, MD
710 Chippewa Sq, Suite 101,
Marquette, MI 49855-4821
Ph: (906) 225-0122 | Dr Ethelbert M Lara, MD
205 Osceola St,
Laurium, MI 49913-2134
Ph: (906) 225-0122 |
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