Dr Modesto M Ferrer, MD | |
16184 W Woodland Hills Dr, Hayward, WI 54843-6474 | |
(715) 634-8933 | |
Not Available |
Full Name | Dr Modesto M Ferrer |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 16184 W Woodland Hills Dr, Hayward, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134164403 | NPI | - | NPPES |
31121300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 17863 (Wisconsin) | Primary |
Entity Name | Lac Courte Oreilles Governing Board |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194830208 PECOS PAC ID: 7810983517 Enrollment ID: O20040420001318 |
Mailing Address | Practice Location Address |
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Dr Modesto M Ferrer, MD 16184 W Woodland Hills Dr, Hayward, WI 54843-6474 Ph: (715) 634-8933 | Dr Modesto M Ferrer, MD 16184 W Woodland Hills Dr, Hayward, WI 54843-6474 Ph: (715) 634-8933 |
Dr. Darren William Perttu, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11134 N State Road 77, Essentia Health Hayward Clinic, Hayward, WI 54843 Phone: 715-634-5505 | |
James Patrick Fogarty, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11128 N State Road 77, Hayward, WI 54843 Phone: 715-934-3124 Fax: 715-934-3125 |