| Laura Koeppel Tagle, MD | |
|
2900 Foxfield Rd, St Charles, IL 60174-5799 | |
| (630) 208-3200 | |
| (630) 208-3201 |
| Full Name | Laura Koeppel Tagle |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 20 Years |
| Location | 2900 Foxfield Rd, St Charles, 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 |
|---|---|---|---|
| 1053440008 | NPI | - | NPPES |
| N0067F | Medicaid | SC | |
| 1053440008 | Medicaid | NC | |
| 920540 | Other | IL | MEDICARE PTAN - GROUP |
| 5909695 | Medicaid | NC | |
| F400237969 | Other | IL | MEDICARE PTAN - INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2008-00673 (North Carolina) | Secondary |
| 207R00000X | Internal Medicine | 036138795 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home Ii | Buffalo grove, IL | Home health agency |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Delnor Community Hospital | Geneva, IL | Hospital |
| Kishwaukee Community Hospital | Dekalb, IL | Hospital |
| Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
| Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Dupage Physician Group | 5890696231 | 1005 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Koeppel Tagle, MD 2900 Foxfield Rd, St Charles, IL 60174-5799 Ph: (630) 208-3200 | Laura Koeppel Tagle, MD 2900 Foxfield Rd, St Charles, IL 60174-5799 Ph: (630) 208-3200 |
Scott Duncan Mcnaughton, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 Foxfield Rd, St Charles, IL 60174 Phone: 630-208-3200 Fax: 630-208-3201 | |
Dr. Jeff T Victor, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2455 Dean St Ste A&b, St Charles, IL 60175 Phone: 630-208-7388 Fax: 630-208-4818 | |
Dr. Darryl V. Link, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3310 W Main St Ste 100, St Charles, IL 60175 Phone: 630-377-2800 Fax: 630-377-6774 | |
Dr. Carol Palackdharry, MD, MS, FACP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 39w708 Goldenrod Dr, St Charles, IL 60175 Phone: 630-797-5412 | |
Dr. Parisa Gerami-lehnerer, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2210 Dean St Ste M, St Charles, IL 60175 Phone: 630-593-1805 | |
Ms. Catherine Sabu Thomas, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2570 Foxfield Rd, Suite 100, St Charles, IL 60174 Phone: 630-584-1950 |