| Michael S Hohlastos, DO | |
|
1 Kish Hospital Dr, Dekalb, IL 60115-9602 | |
| (815) 748-2972 | |
| (815) 748-2978 |
| Full Name | Michael S Hohlastos |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 22 Years |
| Location | 1 Kish Hospital Dr, Dekalb, 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 |
|---|---|---|---|
| 1376743914 | NPI | - | NPPES |
| 036117448 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036081745 (Illinois) | Primary |
| 207P00000X | Emergency Medicine | 76923 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jackson County Regional Health Center | Maquoketa, IA | Hospital |
| Valley West Community Hospital | Sandwich, IL | Hospital |
| Fort Memorial Hospital | Fort atkinson, WI | Hospital |
| Thedacare Medical Center - New London | New london, WI | Hospital |
| Beloit Health System | Beloit, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Wisconsin Emergency Associates Sc | 3274561055 | 47 |
| Southern Wisconsin Emergency Associates Sc | 3274561055 | 47 |
| Swea Fort Sc | 0345774972 | 49 |
| Entity Name | Southern Wisconsin Emergency Associates Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568538189 PECOS PAC ID: 3274561055 Enrollment ID: O20050802000934 |
| Entity Name | Swea Fort Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295552065 PECOS PAC ID: 0345774972 Enrollment ID: O20241105002772 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael S Hohlastos, DO 1 Kish Hospital Dr, Dekalb, IL 60115-9602 Ph: (815) 748-2972 | Michael S Hohlastos, DO 1 Kish Hospital Dr, Dekalb, IL 60115-9602 Ph: (815) 748-2972 |
Nina L Taylor, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1425 W Lincoln Hwy, Northern Illinois University / Health Services, Dekalb, IL 60115 Phone: 815-753-1311 | |
Jeanne M Johnston, D.O Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 626 Bethany Rd, Dekalb, IL 60115 Phone: 815-756-1521 | |
Dr. David Mayor, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-748-2972 | |
Dr. Talha Ahmed, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-766-7334 Fax: 815-766-9768 | |
Michael Hagstrom, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-766-7334 Fax: 815-766-9768 | |
Gregg A Kling, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: One Kish Hospital Dr, Dekalb, IL 60115 Phone: 815-756-1521 |