Dr Riley A Smyth, MD | |
1789 Shawano Ave, Green Bay, WI 54303-3243 | |
(920) 499-2766 | |
(920) 499-7080 |
Full Name | Dr Riley A Smyth |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 16 Years |
Location | 1789 Shawano Ave, Green Bay, 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 |
---|---|---|---|
1275791832 | NPI | - | NPPES |
62709-20 | Other | WI | WI LICENSE |
ABR | Other | AMERICAN BOARD OF RADIOLOGY/DIAGNOSTIC RADIOLOGY | |
4301116329 | Other | MI | MI LICCENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 4301116329 (Michigan) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 62709 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bellin Memorial Hospital | Green bay, WI | Hospital |
Bellin Health Oconto Hospital | Oconto, WI | Hospital |
Dickinson County Memorial Hospital | Iron mountain, MI | Hospital |
Osf St Francis Hospital And Medical Group | Escanaba, MI | Hospital |
Bay Area Medical Center | Marinette, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology Chartered | 1557394988 | 20 |
Bellin Memorial Hospital Inc | 8820900749 | 533 |
Radiology Chartered | 1557394988 | 20 |
Bellin Memorial Hospital Inc | 8820900749 | 533 |
Entity Name | Bellin Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
Entity Name | Oconto Hospital & Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356373302 PECOS PAC ID: 2163461781 Enrollment ID: O20050713000836 |
Entity Name | Radiology Chartered |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760416895 PECOS PAC ID: 1557394988 Enrollment ID: O20050915000492 |
Entity Name | Oconto Hospital & Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1881129351 PECOS PAC ID: 2163461781 Enrollment ID: O20170621001516 |
Mailing Address | Practice Location Address |
---|---|
Dr Riley A Smyth, MD 1789 Shawano Ave, Green Bay, WI 54303-3243 Ph: (920) 499-2766 | Dr Riley A Smyth, MD 1789 Shawano Ave, Green Bay, WI 54303-3243 Ph: (920) 499-2766 |
George X Zaleski, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1789 Shawano Ave, Green Bay, WI 54303 Phone: 920-499-1428 | |
Dr. Nami P Zarvan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2941 S Ridge Rd, Green Bay, WI 54304 Phone: 920-336-4096 Fax: 920-336-8093 | |
Sally Schlise, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-433-8184 | |
Dr. Jeremy Boone Mccue, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2941 S Ridge Rd, Green Bay, WI 54304 Phone: 920-336-4096 Fax: 920-336-8093 | |
William L Hingtgen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1789 Shawano, Green Bay, WI 54303 Phone: 920-499-1428 Fax: 920-499-5808 | |
Dr. James I Sladky, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2941 S Ridge Rd, Green Bay, WI 54304 Phone: 920-336-4096 Fax: 920-336-8093 | |
Patrick M Carrigan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1789 Shawano Ave, Green Bay, WI 54303 Phone: 920-499-1428 Fax: 920-499-5808 |