| Dr Laxman S Iyer, MD | |
|
215 E 1st St,, Ste 214, Dixon, IL 61021 | |
| (815) 285-5815 | |
| (815) 285-5816 |
| Full Name | Dr Laxman S Iyer |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 215 E 1st St,, Dixon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891761094 | NPI | - | NPPES |
| L82360 | Other | IL | MEDICARE |
| 036052760 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 036-052760 (Illinois) | Primary |
| Entity Name | Ksb Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Laxman S Iyer, MD 215 E 1st St,, Ste 212, Dixon, IL 61021 Ph: (815) 285-5815 | Dr Laxman S Iyer, MD 215 E 1st St,, Ste 214, Dixon, IL 61021 Ph: (815) 285-5815 |
Abdulhamid H Alkhalaf, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St Ste 310, Dixon, IL 61021 Phone: 815-285-5979 Fax: 815-285-5845 | |
Eric Gale, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St, Suite 214, Dixon, IL 61021 Phone: 815-284-1600 | |
Dr. Danca Luchici, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1321 N Galena Ave, Dixon, IL 61021 Phone: 815-625-4790 | |
Dr. Fadi M Mustapha, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St, Dixon, IL 61021 Phone: 815-285-5843 Fax: 815-285-5846 | |
Philippa M Devenney, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 403 E. 1st Street, Katherine Shaw Bethea Hospital, Dixon, IL 61021 Phone: 815-285-5629 Fax: 815-285-5634 | |
Dr. Dara Grennan, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-285-5629 Fax: 815-285-5634 | |
Dr. Lionel B Wong, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 215 E 1st St, Ste 211, Dixon, IL 61021 Phone: 815-285-5843 Fax: 815-285-5846 |