Lara N Mrak, MD | |
W231n1440 Corporate Ct, Waukesha, WI 53186-1303 | |
(262) 896-6000 | |
Not Available |
Full Name | Lara N Mrak |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 10 Years |
Location | W231n1440 Corporate Ct, Waukesha, Wisconsin |
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 |
---|---|---|---|
1063832608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 66081 - 20 (Wisconsin) | Primary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 66081 (Wisconsin) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Medical Center - Summit | Summit, WI | Hospital |
Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
West Allis Memorial Hospital | West allis, WI | Hospital |
Aurora Medical Center - Grafton | Grafton, WI | Hospital |
Aurora Medical Ctr Washington County | Hartford, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Advanced Healthcare Inc | 3375625833 | 929 |
Aurora Medical Group, Inc. | 6709794258 | 3207 |
Lakeshore Medical Clinic Llc | 7719890730 | 300 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Lakeshore Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Entity Name | Aurora Advanced Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
---|---|
Lara N Mrak, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 389-2131 | Lara N Mrak, MD W231n1440 Corporate Ct, Waukesha, WI 53186-1303 Ph: (262) 896-6000 |
Dr. David Joseph Czarnecki, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-2400 Fax: 262-928-7621 | |
Dr. Gregory Allen Kass, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-2400 Fax: 262-928-7621 | |
Dr. David Morgan Roelke, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-2400 Fax: 262-928-7621 | |
Dr. Jennifer T Bergin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-2400 | |
Dr. David Orlin Yenerich, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-2400 Fax: 262-928-7621 | |
Bambi R Weyers, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: N16w24131 Riverwood Drive, Waukesha, WI 53188 Phone: 262-696-0696 Fax: 262-696-0683 |