| Dr Lorie A Montag, MD | |
|
1212 Pleasant, Suite #ll3, Des Moines, IA 50309-1414 | |
| (515) 241-8861 | |
| (515) 241-8855 |
| Full Name | Dr Lorie A Montag |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 34 Years |
| Location | 1212 Pleasant, Des Moines, Iowa |
| 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 |
|---|---|---|---|
| 1114953205 | NPI | - | NPPES |
| 10001057500 | Other | COMMUNITY HEALTH PLAN | |
| 25321019 | Other | BLUE CROSS BLUE SHIELD KC | |
| 100324250A | Medicaid | KS | |
| 203860804 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 102401 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Menorah Medical Center | Overland park, KS | Hospital |
| Research Medical Center | Kansas city, MO | Hospital |
| Lee's Summit Medical Center | Lees summit, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Irl Pathology Services Midamerica Llc | 0840558664 | 15 |
| Irl Pathology Services Midamerica Llc | 0840558664 | 15 |
| Entity Name | Irl Pathology Services Midamerica Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497271480 PECOS PAC ID: 0840558664 Enrollment ID: O20180129000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lorie A Montag, MD Po Box 744327, Atlanta, GA 30374-4327 Ph: (515) 241-8861 | Dr Lorie A Montag, MD 1212 Pleasant, Suite #ll3, Des Moines, IA 50309-1414 Ph: (515) 241-8861 |
Ramona Ann Thompson, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1111 6th Ave, Des Moines, IA 50314 Phone: 515-643-8638 | |
Dr. Carolyn Su-ying Pease, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1111 6th Avenue, Mercy Medical Center, Des Moines, IA 50314 Phone: 515-643-8533 Fax: 515-643-8911 | |
Timothy Floyd Drevyanko, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1212 Pleasant, #ll3, Des Moines, IA 50309 Phone: 515-241-8866 Fax: 515-241-8855 | |
Jacob Edward Sramek, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1212 Pleasant St, Suite Ll3, Des Moines, IA 50309 Phone: 515-241-8866 | |
Edward Fredric Loeb, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1212 Pleasant, #ll3, Des Moines, IA 50309 Phone: 515-241-8866 Fax: 515-241-8855 | |
Richard Kent Scupham, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1212 Pleasant, #ll3, Des Moines, IA 50309 Phone: 515-241-8866 Fax: 515-241-8855 |