Daniel C Medina, MD | |
Surgical Associates, Sc, 2400 Pine Ridge Blvd, Wausau, WI 54401 | |
(715) 847-2022 | |
(715) 843-1220 |
Full Name | Daniel C Medina |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 18 Years |
Location | Surgical Associates, Sc, Wausau, 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 |
---|---|---|---|
1376868281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | M-1942 (Guam) | Secondary |
208600000X | Surgery | 1924-320 (Wisconsin) | Primary |
208600000X | Surgery | MD456117 (Pennsylvania) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Guam Memorial Hospital Authority | Tamuning, GU | Hospital |
Guam Regional Medical City | Dededo, GU | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hafa Specialist Group Llp | 3779482286 | 5 |
Guam X-ray | 8123180742 | 24 |
Entity Name | Hafa Specialist Group Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235141060 PECOS PAC ID: 3779482286 Enrollment ID: O20040105000249 |
Entity Name | Guam Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366519027 PECOS PAC ID: 5890781694 Enrollment ID: O20040426000038 |
Entity Name | Hafa Specialist Group Llp |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1881929842 PECOS PAC ID: 3779482286 Enrollment ID: O20160503000417 |
Entity Name | Guam X-ray |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376767426 PECOS PAC ID: 8123180742 Enrollment ID: O20210325002365 |
Mailing Address | Practice Location Address |
---|---|
Daniel C Medina, MD 2400 Pine Ridge Blvd, Wausau, WI 54401 Ph: (715) 847-2022 | Daniel C Medina, MD Surgical Associates, Sc, 2400 Pine Ridge Blvd, Wausau, WI 54401 Ph: (715) 847-2022 |
Dr. Gary Theodore Sweet Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2606 Stewart Ave Ste 200, Wausau, WI 54401 Phone: 715-847-2022 | |
Dr. Charles R. Alden, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2400 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2022 Fax: 715-847-2775 | |
Dr. Paul Joseph Chestovich, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2400 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2022 | |
Dr. Stacey Rae Lejeune, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2400 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2022 | |
Ralph B Fairchild Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2400 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2022 | |
Benjamin James Herdrich, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2400 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2022 | |
Dr. Steven T. Weiland, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2606 Stewart Ave Ste 200, Wausau, WI 54401 Phone: 715-847-2022 |