| Laura Allen, MD | |
|
24 Shoreland Dr, Key Largo, FL 33037-4749 | |
| (904) 388-6949 | |
| Not Available |
| Full Name | Laura Allen |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 19 Years |
| Location | 24 Shoreland Dr, Key Largo, Florida |
| 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 |
|---|---|---|---|
| 1447576228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A106066 (California) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | ME146899 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Javon Bea Hospital | Rockford, IL | Hospital |
| Mclaren Northern Michigan | Petoskey, MI | Hospital |
| Riverside Medical Center | Kankakee, IL | Hospital |
| Samaritan Medical Center | Watertown, NY | Hospital |
| Mclaren Bay Region | Bay city, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pco Pc | 5395179329 | 82 |
| On-line Radiology Medical Group Inc | 0648311548 | 66 |
| Rockford Health Physicians | 2567374036 | 520 |
| Mercy Health System Corporation | 7416860440 | 749 |
| Entity Name | Doctors Mcclow Clark & Berk PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669420436 PECOS PAC ID: 4587607577 Enrollment ID: O20050610000147 |
| Entity Name | On-line Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710158498 PECOS PAC ID: 0648311548 Enrollment ID: O20120430000025 |
| Entity Name | Pco PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881230563 PECOS PAC ID: 5395179329 Enrollment ID: O20200121002253 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Allen, MD Po Box 161180, Altamonte Springs, FL 32716-1180 Ph: (904) 388-6949 | Laura Allen, MD 24 Shoreland Dr, Key Largo, FL 33037-4749 Ph: (904) 388-6949 |