| Dr Laam Ko, DO | |
|
5900 S Lake Dr, Cudahy, WI 53110-3171 | |
| (414) 744-6589 | |
| (414) 747-8848 |
| Full Name | Dr Laam Ko |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 17 Years |
| Location | 5900 S Lake Dr, Cudahy, Wisconsin |
| 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 |
|---|---|---|---|
| 1467624197 | NPI | - | NPPES |
| 100056527 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 5101017757 (Michigan) | Secondary |
| 208600000X | Surgery | 65212 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Lakeshore Medical Clinic Llc | 7719890730 | 325 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Lakeshore Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Laam Ko, DO Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr Laam Ko, DO 5900 S Lake Dr, Cudahy, WI 53110-3171 Ph: (414) 744-6589 |
Dr. Allan Richard Pasch, MD Surgery Medicare: Medicare Enrolled Practice Location: 5900 S Lake Dr, Cudahy, WI 53110 Phone: 414-489-4190 Fax: 414-332-1005 | |
Gregory M. Rosner, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 5900 S Lake Dr., Lakeshore Medical Clinic, Cudahy, WI 53110 Phone: 414-489-4190 Fax: 414-489-4015 | |
Nicholas N Armstrong, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5900 S. Lake Drive, Cudahy, WI 53110 Phone: 414-489-4190 Fax: 414-489-4015 |