Ewa K Lacka, MD in Wyoming, MI - Medicare Diagnostic Radiology

Ewa K Lacka, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Wyoming, Michigan. He graduated from medical school in 1989 and has 37 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Advanced Radiology Services Pc and his current practice location is 5838 Metro Way Sw, Wyoming, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 966-5600.

Ewa K Lacka is licensed to practice in Michigan (license number 4301067667) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114095858.

Contact Information

	Ewa K Lacka, MD
	5838 Metro Way Sw, Wyoming, MI 49519-9619
	(269) 966-5600
	Not Available

Map and Direction

Physician's Profile

Full Name	Ewa K Lacka
Gender	Male
Speciality	Diagnostic Radiology
Experience	37 Years
Location	5838 Metro Way Sw, Wyoming, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ewa K Lacka graduated from medical school in 1989

NPI Data:

NPI Number: 1114095858
Provider Enumeration Date: 12/01/2006
Last Update Date: 12/10/2025

Medicare PECOS Information:

PECOS PAC ID: 0749311330
Enrollment ID: I20100625000380

Medical Identifiers

Medical identifiers for Ewa K Lacka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114095858	NPI	-	NPPES
EL067767	Other		CHAMPUS-CHAMPUS
426712510	Medicaid	MI
700H262300	Other		BLUE CROSS-BLUE CROSS
EL067767	Other		COMMERCIAL-COMMERCIAL NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	4301067667 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Spectrum Health	Grand rapids, MI	Hospital
Bronson Methodist Hospital	Kalamazoo, MI	Hospital
Lakeland Hospital, St Joseph	St joseph, MI	Hospital
Bronson Battle Creek Hospital	Battle creek, MI	Hospital
Spectrum Health United Hospital	Greenville, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advanced Radiology Services Pc	4284546516	243

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ewa K Lacka allows following entities to bill medicare on his behalf.

Entity Name	Advanced Radiology Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740283324 PECOS PAC ID: 4284546516 Enrollment ID: O20031104000494

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. Ewa K Lacka 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
Ewa K Lacka, MD 5838 Metro Way Sw, Wyoming, MI 49519-9619 Ph: (269) 966-5600	Ewa K Lacka, MD 5838 Metro Way Sw, Wyoming, MI 49519-9619 Ph: (269) 966-5600

Reviews and Comments

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Dr. Jennifer Alexandra Novak, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5950 Metro Way Sw, Wyoming, MI 49519 Phone: 616-252-8180
Janan Abbas Alkilidar, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7789 Fax: 616-252-6936
Guillermo R Sanchez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7789 Fax: 616-252-6939
Dr. Matthew August Tiede, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7159
Sharon Renee Helmer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5900 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-252-7159
Derek Paul Bergsma, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5950 Metro Way Sw, Wyoming, MI 49519 Phone: 616-252-8160

Ewa K Lacka, MD - Medicare Diagnostic Radiology in Wyoming, MI