| Leland C Lenahan Iii, MD | |
|
2800 W 95th St, Evergreen Park, IL 60805-2746 | |
| (708) 422-4221 | |
| (708) 422-4415 |
| Full Name | Leland C Lenahan Iii |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 35 Years |
| Location | 2800 W 95th St, Evergreen Park, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770567117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD.021384 (Louisiana) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 036106714 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lane Regional Medical Center | Zachary, LA | Hospital |
| Trinity Medical | Ferriday, LA | Hospital |
| Lasalle General Hospital | Jena, LA | Hospital |
| Allen Parish Hospital | Kinder, LA | Hospital |
| Union General Hospital | Farmerville, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Staffing Solutions Inc | 9830001650 | 57 |
| Jena Ess Llc | 7810116258 | 15 |
| Acs Primary Care Physicians Louisiana Pc | 4486566932 | 24 |
| Entity Name | Acs Primary Care Physicians Louisiana PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306889092 PECOS PAC ID: 4486566932 Enrollment ID: O20050324000095 |
| Entity Name | Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20050610000177 |
| Entity Name | Union General Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1881678704 PECOS PAC ID: 0749192367 Enrollment ID: O20110415000209 |
| Entity Name | Jena Ess LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235544115 PECOS PAC ID: 7810116258 Enrollment ID: O20140916002675 |
| Entity Name | Jena Ess Hospitalist LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144635020 PECOS PAC ID: 5294954533 Enrollment ID: O20140918000317 |
| Entity Name | Concord Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20140930001176 |
| Entity Name | Main Street Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750796041 PECOS PAC ID: 4880917012 Enrollment ID: O20141219001279 |
| Entity Name | Calcasieu Cameron Emergency Physician Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699167478 PECOS PAC ID: 3476871815 Enrollment ID: O20150414002039 |
| Entity Name | Washington Parish Emergency Physicians Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538511043 PECOS PAC ID: 4284928094 Enrollment ID: O20160802001165 |
| Entity Name | Nes Louisiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669922431 PECOS PAC ID: 5496651002 Enrollment ID: O20161116002239 |
| Entity Name | Concord North Texas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952761173 PECOS PAC ID: 2860791688 Enrollment ID: O20170922000452 |
| Entity Name | Highland Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154913861 PECOS PAC ID: 6800295890 Enrollment ID: O20210524002901 |
| Entity Name | Keystone Medical Services of Ferriday, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215704754 PECOS PAC ID: 5991140600 Enrollment ID: O20240304001066 |
| Mailing Address | Practice Location Address |
|---|---|
| Leland C Lenahan Iii, MD 108 Bluff Cir, Lafayette, LA 70508-6018 Ph: (708) 422-4221 | Leland C Lenahan Iii, MD 2800 W 95th St, Evergreen Park, IL 60805-2746 Ph: (708) 422-4221 |
Mahir Mameledzija, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-6200 |
Penny Hutchinson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-4221 Fax: 708-422-4415 |
Francisco Rosales, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-4221 Fax: 708-422-4415 |
Michael O'mara, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-4221 Fax: 708-422-4415 |
Dr. Syed Khursheed Zaman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3851 W 95th St, Evergreen Park, IL 60805 Phone: 708-576-8112 Fax: 708-221-6631 |
James Danziger, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-4221 Fax: 708-422-4415 |
Randall D Grant, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 518-542-0860 |