Dr Gary B Collins, MD | |
700 S Park St, Madison, WI 53715-1830 | |
(608) 251-6100 | |
Not Available |
Full Name | Dr Gary B Collins |
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Gender | Male |
Speciality | Surgery |
Location | 700 S Park St, Madison, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245286905 | NPI | - | NPPES |
1245286905 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 66130-20 (Wisconsin) | Primary |
Entity Name | Northeast Georgia Physicians Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386 Enrollment ID: O20040402001277 |
Entity Name | Gwinnett Physician Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578574661 PECOS PAC ID: 9133211139 Enrollment ID: O20070822001035 |
Entity Name | Northside Primary Care Professional Services,llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922397553 PECOS PAC ID: 9638343924 Enrollment ID: O20111123000206 |
Mailing Address | Practice Location Address |
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Dr Gary B Collins, MD 700 S Park St, Madison, WI 53715-1830 Ph: (608) 251-6100 | Dr Gary B Collins, MD 700 S Park St, Madison, WI 53715-1830 Ph: (608) 251-6100 |
Haggi Mazeh, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-265-8072 Fax: 608-265-9695 | |
Dr. Ekaterina Fedorova, MD Surgery Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-1384 | |
Ruben Ngnitwew Massa A, MD Surgery Medicare: Medicare Enrolled Practice Location: 4221 Owl Creek Dr, Madison, WI 53718 Phone: 913-980-3405 | |
Faith Dickerson, MD Surgery Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400 | |
Dr. Wardah Rafaqat, M.B.B.S. Surgery Medicare: Not Enrolled in Medicare Practice Location: 749 University Row Ste 200, Madison, WI 53705 Phone: 608-263-6400 | |
Bruce A Harms, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-7502 Fax: 608-265-5530 | |
Dr. Clara Emilia Angeles, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-890-0554 |