Bruce R Douglas, MD | |
200 1st St Sw, Rochester, MN 55905-0001 | |
(507) 284-2511 | |
Not Available |
Full Name | Bruce R Douglas |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 31 Years |
Location | 200 1st St Sw, Rochester, Minnesota |
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 |
---|---|---|---|
1568448553 | NPI | - | NPPES |
34334000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 45258 (Wisconsin) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 37107 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Agnes Hospital | Fond du lac, WI | Hospital |
Ascension Ne Wisconsin - St Elizabeth Campus | Appleton, WI | Hospital |
Thedacare Medical Center-waupaca | Waupaca, WI | Hospital |
Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
Waupun Memorial Hospital | Waupun, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology Associates Of The Fox Valley Sc | 0446152748 | 49 |
Entity Name | Radiology Associates Of The Fox Valley Sc |
---|---|
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 |
---|---|
Bruce R Douglas, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Bruce R Douglas, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 |
Michael Bold, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Allison E Garda, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Tanner Henrie, Radiology Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Michael Leigh Wells, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Philippe Couillard, Radiology Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Scott Christopher Lester, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Mayo Clinic, 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 Fax: 507-284-0702 | |
Motassem Billah Nashawaty, MD Radiology Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |