| Lara B Eisenberg, MD | |
|
1145 19th St Nw, Suite 205, Washington, DC 20036-3701 | |
| (301) 279-4490 | |
| (301) 279-4489 |
| Full Name | Lara B Eisenberg |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 33 Years |
| Location | 1145 19th St Nw, Washington, District Of Columbia |
| 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 |
|---|---|---|---|
| 1861482564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | D0054567 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northridge Hospital Medical Center | Northridge, CA | Hospital |
| Glendale Mem Hospital & Hlth Center | Glendale, CA | Hospital |
| Ventura County Medical Center | Ventura, CA | Hospital |
| Antelope Valley Hospital | Lancaster, CA | Hospital |
| Valley Presbyterian Hospital | Van nuys, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Golden State Imaging Associates Inc | 1254761315 | 194 |
| Renaissance Imaging Medical Associates Inc | 7315841756 | 119 |
| Renaissance Imaging Medical Associates Inc | 7315841756 | 119 |
| Entity Name | Renaissance Imaging Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487608931 PECOS PAC ID: 7315841756 Enrollment ID: O20161025002336 |
| Entity Name | Golden State Imaging Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144872052 PECOS PAC ID: 1254761315 Enrollment ID: O20220412003003 |
| Mailing Address | Practice Location Address |
|---|---|
| Lara B Eisenberg, MD Po Box 4196, Columbus, GA 31914-0196 Ph: (301) 279-4490 | Lara B Eisenberg, MD 1145 19th St Nw, Suite 205, Washington, DC 20036-3701 Ph: (301) 279-4490 |
Kimberly Smith, Radiology Medicare: Accepting Medicare Assignments Practice Location: 110 Irving St Nw, Washington, DC 20010 Phone: 301-902-1073 | |
Dr. Michael B Shvarts, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 110 Irving St Nw, Washington, DC 20010 Phone: 202-877-7000 | |
Jonathan Rischall, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2150 Pennsylvania Avenue, Nw, The Gw Medical Faculty Associates, Washington, DC 20037 Phone: 202-741-3000 | |
Malem Gutema, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2400 6th St Nw, Washington, DC 20059 Phone: 503-476-5205 | |
Joel Bowers, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1150 Varnum St Ne, Washington, DC 20017 Phone: 202-269-7000 | |
Krista Lyn Mcfarren, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3301 New Mexico Ave Nw, Suite 102, Washington, DC 20016 Phone: 202-966-0606 Fax: 202-244-6757 | |
Ranjith Vellody, MD Radiology Medicare: Medicare Enrolled Practice Location: 111 Michigan Ave Nw, Washington, DC 20010 Phone: 202-476-5000 |