Allen Edward Chantelois, MD | |
325 N Commercial St, Neenah, WI 54956-2665 | |
(920) 722-1583 | |
(920) 722-7454 |
Full Name | Allen Edward Chantelois |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 325 N Commercial St, Neenah, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477539450 | NPI | - | NPPES |
32046700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 35128 (Wisconsin) | Primary |
Entity Name | Radiology Associates Of The Fox Valley Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477539443 PECOS PAC ID: 0446152748 Enrollment ID: O20040127000011 |
Mailing Address | Practice Location Address |
---|---|
Allen Edward Chantelois, MD 325 N Commercial St, Neenah, WI 54956-2665 Ph: (920) 722-1583 | Allen Edward Chantelois, MD 325 N Commercial St, Neenah, WI 54956-2665 Ph: (920) 722-1583 |
Paul A. Larson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 325 N Commercial St, Neenah, WI 54956 Phone: 920-722-1583 Fax: 920-722-7454 | |
Timothy H. Seline, MD Radiology Medicare: Medicare Enrolled Practice Location: 325 N Commercial St, Neenah, WI 54956 Phone: 920-722-1583 Fax: 920-722-7454 | |
Katrina A. Rosculet, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 325 N Commercial St, Neenah, WI 54956 Phone: 920-722-1583 Fax: 920-722-7454 | |
Rudolph Y. Lin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 325 N Commercial St, Neenah, WI 54956 Phone: 920-722-1583 Fax: 920-722-7454 | |
Audrey E Nolten, MD Radiology Medicare: Medicare Enrolled Practice Location: 325 N Commercial St, Neenah, WI 54956 Phone: 920-722-1583 Fax: 920-722-7454 | |
Hong Xie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 333 N Commercial St, Neenah, WI 54956 Phone: 920-738-2000 | |
Dr. Bradley John Hartmann, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 333 N Commercial St Ste 100, Neenah, WI 54956 Phone: 920-722-1840 Fax: 414-259-9290 |