Dr Thomas K Ceballos, MD | |
1836 South Ave, La Crosse, WI 54601-5429 | |
(608) 782-7300 | |
Not Available |
Full Name | Dr Thomas K Ceballos |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 26 Years |
Location | 1836 South Ave, La Crosse, 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 |
---|---|---|---|
1215975719 | NPI | - | NPPES |
P00433654 | Other | FL | RR MEDICARE |
276494600 | Medicaid | FL | |
53766 | Other | FL | FLORIDA BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | ME 92981 (Florida) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 74124 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gundersen Lutheran Medical Center | La crosse, WI | Hospital |
Gundersen Tri-county Hospital & Clinics | Whitehall, WI | Hospital |
St Elizabeth Medical Center | Wabasha, MN | Hospital |
Black River Memorial Hospital | Black river falls, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Veterans Memorial Hospital City Of Waukon Ia | 1355230293 | 28 |
Moundview Memorial Hospital And Clinics Inc | 1355250432 | 28 |
Gundersen Lutheran Medical Center Inc | 2163331414 | 789 |
Black River Memorial Hospital Inc | 3173431178 | 44 |
St Joseph's Health Services Inc | 3971586439 | 29 |
Tri-county Memorial Hospital Inc | 4587642418 | 55 |
Saint Elizabeths Hospital Of Wabasha Inc | 5092619387 | 78 |
Memorial Hospital Of Boscobel | 8325957673 | 41 |
Gundersen Lutheran Medical Center Inc | 2163331414 | 789 |
Saint Elizabeths Hospital Of Wabasha Inc | 5092619387 | 78 |
Entity Name | Gundersen Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20040130000561 |
Entity Name | Veterans Memorial Hospital City Of Waukon Ia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235260126 PECOS PAC ID: 1355230293 Enrollment ID: O20040310001544 |
Entity Name | Veterans Memorial Hospital City Of Waukon Ia |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1164599643 PECOS PAC ID: 1355230293 Enrollment ID: O20101101000478 |
Entity Name | Veterans Memorial Hospital City Of Waukon Ia |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1447381322 PECOS PAC ID: 1355230293 Enrollment ID: O20101101001445 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas K Ceballos, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Dr Thomas K Ceballos, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
Cameron F Roberts, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Brian R Manske, MD Radiology Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Dr. Heather Jo Wichman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1900 South Ave, La Crosse, WI 54601 Phone: 608-775-6569 | |
Robert E Wax, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Douglas G Gold, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Mark C Wickre, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Dr. Ezana M Azene, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |