Dr Paul G Spottswood, MD | |
6308 8th Ave, Kenosha, WI 53143-5031 | |
(262) 656-2011 | |
Not Available |
Full Name | Dr Paul G Spottswood |
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Gender | Male |
Speciality | Anesthesiology |
Location | 6308 8th Ave, Kenosha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124002282 | NPI | - | NPPES |
P00318136 | Other | RAIL ROAD MEDICARE | |
30668700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 27329-020 (Wisconsin) | Primary |
Entity Name | Midwest Physicians Anesthesia Service, Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275586653 PECOS PAC ID: 0446230445 Enrollment ID: O20040721000807 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul G Spottswood, MD 225 S Executive Dr, Brookfield, WI 53005-4266 Ph: (262) 787-4026 | Dr Paul G Spottswood, MD 6308 8th Ave, Kenosha, WI 53143-5031 Ph: (262) 656-2011 |
Dr. Rick J Hutson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-656-2011 | |
Marijan Jednacak, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-697-7000 | |
Faraz Ahmad Khan Daha, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6815 118th Ave, Kenosha, WI 53142 Phone: 262-857-5600 | |
Dr. Antonio C Caballero, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-697-7000 | |
Timothy James Maher, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 414-389-2131 | |
Joseph M Duratinsky, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6308 Eighth Ave, Kenosha, WI 53143 Phone: 262-656-2011 Fax: 262-439-7683 |