Daniel C Bloomgarden, MD | |
6150 West Latyon Avenue, Greenfield, WI 53220 | |
(414) 282-4100 | |
(414) 282-4108 |
Full Name | Daniel C Bloomgarden |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 28 Years |
Location | 6150 West Latyon Avenue, Greenfield, 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 |
---|---|---|---|
1821019639 | NPI | - | NPPES |
34263100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 44760020 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
Beaver Dam Community Hospital Dba Marshfield Medical Center - Beaver Dam | Beaver dam, WI | Hospital |
Marshfield Medical Center | Marshfield, WI | Hospital |
Marshfield Medical Center - Eau Claire | Eau claire, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Diagnostic Imaging Llc | 0042107641 | 11 |
Gundersen Lutheran Medical Center Inc | 2163331414 | 789 |
Marshfield Clinic Inc | 2264345206 | 92 |
Mchs Hospitals Inc | 5698071173 | 1030 |
Milwaukee Radiologists Ltd Sc | 7113915810 | 17 |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Entity Name | Gundersen Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
Entity Name | Marshfield Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
Entity Name | Moundview Memorial Hospital & Clinics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710939533 PECOS PAC ID: 1355250432 Enrollment ID: O20031121000846 |
Entity Name | Memorial Hospital Of Boscobel |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760459846 PECOS PAC ID: 8325957673 Enrollment ID: O20040115000725 |
Entity Name | Beaver Dam Community Hospitals Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972188555 PECOS PAC ID: 2567370539 Enrollment ID: O20040210000666 |
Entity Name | Milwaukee Radiologists Ltd Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568564904 PECOS PAC ID: 7113915810 Enrollment ID: O20040503000756 |
Entity Name | Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20040519001426 |
Entity Name | St Joseph's Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104031798 PECOS PAC ID: 3971586439 Enrollment ID: O20040615000273 |
Entity Name | Tri-county Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124063573 PECOS PAC ID: 4587642418 Enrollment ID: O20040708000696 |
Entity Name | Flambeau Hospital, Inc. |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1700963048 PECOS PAC ID: 9032029871 Enrollment ID: O20070828000478 |
Entity Name | Memorial Hospital Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20110526000807 |
Entity Name | Gundersen Lutheran Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
Entity Name | Mchs Hospitals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
Entity Name | Lakeview Medical Center Inc Of Rice Lake |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
Entity Name | Mchs Hospitals Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1952890873 PECOS PAC ID: 5698071173 Enrollment ID: O20180904002962 |
Entity Name | Flambeau Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194317966 PECOS PAC ID: 9032029871 Enrollment ID: O20210409000059 |
Entity Name | Medical Diagnostic Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427165331 PECOS PAC ID: 0042107641 Enrollment ID: O20220615000858 |
Mailing Address | Practice Location Address |
---|---|
Daniel C Bloomgarden, MD 6150 West Latyon Avenue, Greenfield, WI 53220 Ph: (414) 282-4100 | Daniel C Bloomgarden, MD 6150 West Latyon Avenue, Greenfield, WI 53220 Ph: (414) 282-4100 |
Robert Breger, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6150 West Layton Avenue, Greenfield, WI 53220 Phone: 414-282-4100 Fax: 414-282-4108 | |
Mark S Wenzel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6150 West Layton Avenue, Greenfield, WI 53220 Phone: 414-282-4100 Fax: 414-282-4108 | |
Thomas E Knechtges, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 6150 West Layton Ave, Greenfield, WI 53220 Phone: 414-282-4100 Fax: 414-282-4108 | |
Anne L Petersen-fisher, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 6150 West Layton Avenue, Greenfield, WI 53220 Phone: 414-282-4100 Fax: 414-282-4108 | |
Gerald F Splittgerber, MD Radiology Medicare: Medicare Enrolled Practice Location: 6150 West Layton Avenue, Greenfield, WI 53220 Phone: 414-282-4100 Fax: 414-282-4108 | |
Stephen J Handrich, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6150 West Layton Avenue, Greenfield, WI 53220 Phone: 414-282-4100 Fax: 414-282-4108 | |
Robert Hardie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6150 West Layton Avenue, Greenfield, WI 53220 Phone: 414-282-4100 Fax: 414-282-4108 |