Dr Robert John Laciak, MD - Medicare Urology in Corvallis, OR

Dr Robert John Laciak, MD is a medicare enrolled "Urology" physician in Corvallis, Oregon. He went to Chicago College Of Medicine And Surgery and graduated in 2006 and has 18 years of diverse experience with area of expertise as Urology. He is a member of the group practice Good Samaritan Hospital Corvallis, Samaritan Pacific Health Services Inc and his current practice location is 990 Nw Circle Blvd, Suite 102, Corvallis, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 768-5486.

Dr Robert John Laciak is licensed to practice in Oregon (license number MD152679) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114196169.

Contact Information

Dr Robert John Laciak, MD
990 Nw Circle Blvd, Suite 102,
Corvallis, OR 97330-1967
(541) 768-5486
Not Available



Physician's Profile

Full NameDr Robert John Laciak
GenderMale
SpecialityUrology
Experience18 Years
Location990 Nw Circle Blvd, Corvallis, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Robert John Laciak attended and graduated from Chicago College Of Medicine And Surgery in 2006
  NPI Data:
  • NPI Number: 1114196169
  • Provider Enumeration Date: 02/25/2008
  • Last Update Date: 11/05/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2062672264
  • Enrollment ID: I20120326000714

Medical Identifiers

Medical identifiers for Dr Robert John Laciak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114196169NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 6851346-1205 (Utah)Secondary
208800000XUrology MD152679 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Good Samaritan Regional Medical CenterCorvallis, ORHospital
Samaritan Pacific Community HospitalNewport, ORHospital
Samaritan Lebanon Community HospitalLebanon, ORHospital
Samaritan Albany General HospitalAlbany, ORHospital
Samaritan North Lincoln HospitalLincoln city, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Good Samaritan Hospital Corvallis1557270725339
Samaritan Pacific Health Services Inc246635352973

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Robert John Laciak allows following entities to bill medicare on his behalf.
Entity NameGood Samaritan Hospital Corvallis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962453134
PECOS PAC ID: 1557270725
Enrollment ID: O20031125000163

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Entity NameSamaritan Pacific Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174888010
PECOS PAC ID: 2466353529
Enrollment ID: O20040204000304

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Robert John Laciak is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Robert John Laciak, MD
Po Box 1189,
Corvallis, OR 97339-1189

Ph: () -
Dr Robert John Laciak, MD
990 Nw Circle Blvd, Suite 102,
Corvallis, OR 97330-1967

Ph: (541) 768-5486

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Urology Doctors in Corvallis, OR

Ms. Mary Ochadlik, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 444 Nw Elks Dr, Corvallis, OR 97330
Phone: 541-754-1150    
Layron O Long, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 990 Nw Circle Blvd, Suite 102, Corvallis, OR 97330
Phone: 541-768-5486    
James Jason Crane, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 990 Nw Circle Blvd Ste 102, Corvallis, OR 97330
Phone: 541-768-5486    
Michael D Brant, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 3680 Nw Samaritan Dr, Corvallis, OR 97330
Phone: 541-754-1150    

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