Christopher C Gianvecchio, MD | |
1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842 | |
(608) 364-2200 | |
(608) 363-7368 |
Full Name | Christopher C Gianvecchio |
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Gender | Male |
Speciality | Pediatrics |
Location | 1905 E. Huebbe Parkway, Beloit, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801804844 | NPI | - | NPPES |
1801804844 | Medicaid | WI | |
12142 | Other | DEAN HEALTH PLAN HMO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 40586020 (Wisconsin) | Primary |
208000000X | Pediatrics | 036-099699 (Illinois) | Secondary |
Entity Name | Beloit Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679616361 PECOS PAC ID: 8224947858 Enrollment ID: O20031215000424 |
Mailing Address | Practice Location Address |
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Christopher C Gianvecchio, MD 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842 Ph: (608) 364-2200 | Christopher C Gianvecchio, MD 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842 Ph: (608) 364-2200 |
Abraham R Rodriguez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511 Phone: 608-364-2220 Fax: 608-363-7368 | |
Chitra Desai, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Beloit Clinic, 1905 E. Huebbe Parkway, Beloit, WI 53511 Phone: 608-364-2220 Fax: 608-363-7368 | |
Gary B Adamski, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511 Phone: 608-364-2200 Fax: 608-363-7368 | |
Dr. Emarcia Patrice Peete, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2825 Prairie Ave, Beloit, WI 53511 Phone: 608-363-5500 | |
Jane E Fossum, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1905 Huebbe Pkwy, Beloit, WI 53511 Phone: 608-364-2293 Fax: 608-364-2700 |