| Lori L Hardy, MD | |
|
1000 N Oak Ave, Marshfield, WI 54449-5703 | |
| (715) 387-5511 | |
| Not Available |
| Full Name | Lori L Hardy |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 1000 N Oak Ave, Marshfield, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558313221 | NPI | - | NPPES |
| 1558313221 | Medicaid | WI | |
| K00983 | Other | IL | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 70209-20 (Wisconsin) | Primary |
| 207V00000X | Obstetrics & Gynecology | 036-108675 (Illinois) | Secondary |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| 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 |
| Entity Name | Springfield Clinic, LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
| Entity Name | Obhg Illinois SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700107216 PECOS PAC ID: 7810179702 Enrollment ID: O20110314001065 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori L Hardy, MD 471 W Army Trail Rd Ste 103, Bloomingdale, IL 60108-2628 Ph: (630) 980-3366 | Lori L Hardy, MD 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511 |
Alison Rae Sampson, D.O. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5161 |
Maria Anne Mascola, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5638 |
Robert K Gribble, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5324 |
Anastasia Osipova, MD,PHD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: Marshfield Clinic, 1000 N Oak Avenue, Marshfield, WI 54449 Phone: 715-387-5511 |
Shahid Ali Atcha, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511 |
Alison M Bauer, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5161 Fax: 715-389-3677 |
Dr. Alissa Lee Small, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1000 North Oak Avenue, Marshfield, WI 54449 Phone: 715-387-5511 |