| Lara Hammond, MD | |
|
305 W Jackson St Ste 303, Carbondale, IL 62901-1474 | |
| (618) 351-9300 | |
| Not Available |
| Full Name | Lara Hammond |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 24 Years |
| Location | 305 W Jackson St Ste 303, Carbondale, Illinois |
| 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 |
|---|---|---|---|
| 1235167149 | NPI | - | NPPES |
| NCU975A | Other | NC | MEDICARE PTAN |
| P00348700 | Other | IL | RAILROAD MEDICARE |
| 036116220 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 2016-02055 (North Carolina) | Secondary |
| 208800000X | Urology | 036-116220 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mt Sinai Hospital Medical Center | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healogics Specialty Physicians Of Illinois, Llc | 4486877511 | 14 |
| Entity Name | United Shockwave Services Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497132377 PECOS PAC ID: 8729984448 Enrollment ID: O20031211000738 |
| Entity Name | Healogics Specialty Physicians Of Illinois, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215355110 PECOS PAC ID: 4486877511 Enrollment ID: O20140519001061 |
| Mailing Address | Practice Location Address |
|---|---|
| Lara Hammond, MD 7900 N Milwaukee Ave, Suite 17, Niles, IL 60714-3159 Ph: (847) 470-0297 | Lara Hammond, MD 305 W Jackson St Ste 303, Carbondale, IL 62901-1474 Ph: (618) 351-9300 |
Srinivas Rajamahanty, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 301, Carbondale, IL 62901 Phone: 618-351-9300 Fax: 618-351-9307 | |
Dr. Hark Chang, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-549-5128 | |
Dr. Michael J. Hyman, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 303, Carbondale, IL 62901 Phone: 618-351-9300 | |
Dr. Sam Stokes Iii, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 301, Carbondale, IL 62901 Phone: 618-351-9300 Fax: 618-351-9307 |