Dr Riyazuddin S Mogalai, MD | |
430 E Division St, Fond Du Lac, WI 54935-4560 | |
(260) 266-2020 | |
(260) 266-2009 |
Full Name | Dr Riyazuddin S Mogalai |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 26 Years |
Location | 430 E Division St, Fond Du Lac, 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 |
---|---|---|---|
1790931103 | NPI | - | NPPES |
000000628125 | Other | IN | ANTHEM PROVIDER NUMBER |
200972310 | Medicaid | IN | |
000000748342 | Other | IN | ANTHEM |
0060603 | Medicaid | OH | |
P01040162 | Other | IN | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 63783 (Wisconsin) | Secondary |
208M00000X | Hospitalist | 63783 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Agnes Hospital | Fond du lac, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Agnesian Healthcare Inc | 1658289624 | 335 |
Entity Name | Agnesian Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
Mailing Address | Practice Location Address |
---|---|
Dr Riyazuddin S Mogalai, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340 | Dr Riyazuddin S Mogalai, MD 430 E Division St, Fond Du Lac, WI 54935-4560 Ph: (260) 266-2020 |
Kasra A Milani, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300 | |
Nydia C Ros, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4591 | |
Dr. Galina S Petrinska, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300 Fax: 718-579-4836 | |
Dr. Hiwot Ayalew Gobezie, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8420 Fax: 920-926-8913 | |
Kristof T. Gehrke, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300 | |
Amena Nazeer, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 812-450-7338 Fax: 812-450-2193 | |
Madhulika Lall, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8332 Fax: 920-926-8370 |