| Dr Zachary R Laste, MD | |
|
2000 E Layton Ave, St Francis, WI 53235-6053 | |
| (414) 744-6589 | |
| Not Available |
| Full Name | Dr Zachary R Laste |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 14 Years |
| Location | 2000 E Layton Ave, St Francis, 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 |
|---|---|---|---|
| 1417243866 | NPI | - | NPPES |
| 100033998 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036-158668 (Illinois) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 59922 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Aurora Medical Center - Grafton | Grafton, WI | Hospital |
| Aurora Sheboygan Memorial Medical Ctr | Sheboygan, WI | Hospital |
| Aurora Medical Center - Summit | Summit, WI | Hospital |
| Aurora Medical Ctr Oshkosh | Oshkosh, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1012 |
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| 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 |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Zachary R Laste, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr Zachary R Laste, MD 2000 E Layton Ave, St Francis, WI 53235-6053 Ph: (414) 744-6589 |
Edward St Ville, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 | |
Rick G Thyes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 | |
Dr. Brian E Lundeen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 Fax: 414-747-8848 | |
Dr. Ryan Thomas Hilbelink, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 Fax: 414-747-8848 | |
Mack Karnes, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 Fax: 414-747-8848 | |
Dr. Supriya Sharma, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 | |
David H Hinke, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 E Layton Ave, St Francis, WI 53235 Phone: 414-744-6589 Fax: 414-747-8848 |