Benjamin Dellaria, | |
618 Memorial Dr, Chilton, WI 53014-1568 | |
(920) 849-3800 | |
Not Available |
Full Name | Benjamin Dellaria |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 9 Years |
Location | 618 Memorial Dr, Chilton, Wisconsin |
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 |
---|---|---|---|
1942695713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 66415 (Wisconsin) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Calumet County Hospice Agency | Chilton, WI | Hospice |
Ascension Calumet Hospital | Chilton, WI | Hospital |
Ascension Ne Wisconsin - St Elizabeth Campus | Appleton, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ascension Medical Group-fox Valley Wisconsin Inc | 0244142420 | 240 |
Ascension Calumet Hospital Inc | 7416948427 | 12 |
Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
Entity Name | Ascension Calumet Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376541748 PECOS PAC ID: 7416948427 Enrollment ID: O20040809000191 |
Entity Name | Urgent Care Physcians, Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255744025 PECOS PAC ID: 0648495812 Enrollment ID: O20140701001730 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Dellaria, 618 Memorial Dr, Chilton, WI 53014-1568 Ph: (920) 849-3800 | Benjamin Dellaria, 618 Memorial Dr, Chilton, WI 53014-1568 Ph: (920) 849-3800 |
Andrew Beine, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 618 Memorial Dr, Chilton, WI 53014 Phone: 920-849-3800 | |
Scott E Wichman, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 614 Memorial Dr, Chilton, WI 53014 Phone: 920-849-2386 | |
Gene A Tipler, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 618 Memorial Dr, Chilton, WI 53014 Phone: 920-849-7734 | |
Christine M Bockhorn, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 618 Memorial Dr, Chilton, WI 53014 Phone: 920-849-7734 | |
Dr. Randy T Theiler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 451 E Brooklyn St, Chilton, WI 53014 Phone: 920-849-9375 |