Chad Glisch, | |
8901 W Lincoln Ave, West Allis, WI 53227-2409 | |
(414) 329-5950 | |
(414) 329-5943 |
Full Name | Chad Glisch |
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Gender | Male |
Speciality | Internal Medicine - Hematology & Oncology |
Location | 8901 W Lincoln Ave, West Allis, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134514078 | NPI | - | NPPES |
100061678 | Medicaid | WI | |
1134514078 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 66427 (Wisconsin) | Secondary |
207RH0003X | Internal Medicine - Hematology & Oncology | 66427 (Wisconsin) | Primary |
Entity Name | The Medical College Of Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Entity Name | Aurora Health Care Metro Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861447179 PECOS PAC ID: 8628986536 Enrollment ID: O20040114000498 |
Entity Name | Aurora Advanced Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
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Chad Glisch, Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Chad Glisch, 8901 W Lincoln Ave, West Allis, WI 53227-2409 Ph: (414) 329-5950 |
Dr. Hesham M Elghannam, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2424 S 90th St Ste 300, West Allis, WI 53227 Phone: 414-328-8150 | |
Dr. Ruchit D Shah, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-7146 | |
Hashim Sadig, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2514 S 102nd St, 160, West Allis, WI 53227 Phone: 414-225-0300 | |
Dr. Monica M O'sullivan, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 11211 W Lincoln Ave, West Allis, WI 53227 Phone: 414-454-8300 Fax: 414-327-1450 | |
Neil Reisinger, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 904 S 114th St, West Allis, WI 53214 Phone: 414-259-9234 | |
Dr. Isaac Olabode Taiwo, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6000 Fax: 414-649-1328 | |
Dr. Susan L Darmstadter, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 8905 W Lincoln Ave, Ste 401, West Allis, WI 53227 Phone: 414-328-8270 |