| Ian Stormont, MD | |
|
507 S Monroe St, Lancaster, WI 53813 | |
| (608) 723-2143 | |
| Not Available |
| Full Name | Ian Stormont |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 17 Years |
| Location | 507 S Monroe St, Lancaster, 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 |
|---|---|---|---|
| 1184966400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 68791 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Of Lafayette County | Darlington, WI | Hospital |
| Grant Regional Health Center | Lancaster, WI | Hospital |
| Southwest Health Center | Platteville, WI | Hospital |
| The Monroe Clinic | Monroe, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lafayette County | 9436054772 | 27 |
| Entity Name | Lafayette County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114987054 PECOS PAC ID: 9436054772 Enrollment ID: O20031201000476 |
| Entity Name | Grant Regional Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255339867 PECOS PAC ID: 9638079445 Enrollment ID: O20040109000282 |
| Entity Name | Lafayette County |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1114987054 PECOS PAC ID: 9436054772 Enrollment ID: O20061104000561 |
| Entity Name | Grant Regional Health Center Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1255339867 PECOS PAC ID: 9638079445 Enrollment ID: O20160229002869 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Stormont, MD 507 S Monroe St, Lancaster, WI 53813-2054 Ph: (608) 723-2143 | Ian Stormont, MD 507 S Monroe St, Lancaster, WI 53813 Ph: (608) 723-2143 |