Lara N Mrak, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Hartford, Wisconsin. Her current practice location is
1032 E Sumner St, Hartford, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 673-2300.
Lara N Mrak is licensed to practice in Wisconsin (license number 66081 - 20) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063832608.
Physician's Profile
| Full Name | Lara N Mrak |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1032 E Sumner St, Hartford, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Lara N Mrak attended and graduated from in
NPI Data:
- NPI Number: 1063832608
- Provider Enumeration Date: 04/22/2014
- Last Update Date: 06/23/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Lara N Mrak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063832608 | NPI | - | NPPES |
| 100047720 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 66081 (Wisconsin) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 66081 - 20 (Wisconsin) | Primary |
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. Lara N Mrak 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 |
|---|
Lara N Mrak, MD
Po Box 735044,
Chicago, IL 60673-5044
Ph: (800) 326-2250 | Lara N Mrak, MD
1032 E Sumner St,
Hartford, WI 53027-1608
Ph: (262) 673-2300 |
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