Dr Mohammad Shirdel Gerdvisheh, MD | |
515 22nd Ave, Monroe, WI 53566-1569 | |
(608) 324-2000 | |
Not Available |
Full Name | Dr Mohammad Shirdel Gerdvisheh |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 11 Years |
Location | 515 22nd Ave, Monroe, 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 |
---|---|---|---|
1386071124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 57.022933 (Ohio) | Secondary |
208600000X | Surgery | 69721 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christ Hospital | Cincinnati, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christ Hospital Medical Specialists Llc | 6507998432 | 98 |
Christ Hospital Medical Specialists Llc | 6507998432 | 98 |
Entity Name | Christ Hospital Medical Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124341649 PECOS PAC ID: 6507998432 Enrollment ID: O20100713000295 |
Mailing Address | Practice Location Address |
---|---|
Dr Mohammad Shirdel Gerdvisheh, MD 515 22nd Ave, Monroe, WI 53566-1569 Ph: (608) 324-2000 | Dr Mohammad Shirdel Gerdvisheh, MD 515 22nd Ave, Monroe, WI 53566-1569 Ph: (608) 324-2000 |
Richard Huntsman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 515 22nd Avenue, Monroe, WI 53566 Phone: 608-324-2000 | |
Nicholas P Maxwell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 515 22nd Ave, Monroe, WI 53566 Phone: 608-324-2000 | |
Vanessa Michalicka, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 515 22nd Ave, Monroe, WI 53566 Phone: 608-324-2000 |