Dr David J Dedrick, MD | |
1506 S Oneida St, Appleton, WI 54915-1305 | |
(920) 738-2000 | |
Not Available |
Full Name | Dr David J Dedrick |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 30 Years |
Location | 1506 S Oneida St, Appleton, 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 |
---|---|---|---|
1154360931 | NPI | - | NPPES |
32496700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 38508-20 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension Ne Wisconsin - St Elizabeth Campus | Appleton, WI | Hospital |
Ascension Calumet Hospital | Chilton, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Shore Pathologists Sc | 7113986563 | 17 |
Entity Name | North Shore Pathologists Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184703829 PECOS PAC ID: 7113986563 Enrollment ID: O20041011000120 |
Entity Name | Butte Des Morts Pathology, S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205886918 PECOS PAC ID: 4082705397 Enrollment ID: O20070801000024 |
Mailing Address | Practice Location Address |
---|---|
Dr David J Dedrick, MD 2323 N Lake Dr, Milwaukee, WI 53211-4508 Ph: (414) 961-5362 | Dr David J Dedrick, MD 1506 S Oneida St, Appleton, WI 54915-1305 Ph: (920) 738-2000 |
Dr. Peter V Podlusky, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-738-2000 | |
Dr. Todd D Straus, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 4406 W Spencer St, Appleton, WI 54914 Phone: 920-560-6677 |