Dr Timothy P Grady, DO | |
500 Wind Ridge Dr, Wausau, WI 54401-4173 | |
(715) 847-2611 | |
(715) 847-2465 |
Full Name | Dr Timothy P Grady |
---|---|
Gender | Male |
Speciality | Internal Medicine - Cardiovascular Disease |
Location | 500 Wind Ridge Dr, Wausau, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386644409 | NPI | - | NPPES |
30084400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | 39273 (Wisconsin) | Primary |
Entity Name | Aspirus Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568765550 PECOS PAC ID: 1052223625 Enrollment ID: O20110914000072 |
Mailing Address | Practice Location Address |
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Dr Timothy P Grady, DO 500 Wind Ridge Dr, Wausau, WI 54401-4173 Ph: (715) 847-2611 | Dr Timothy P Grady, DO 500 Wind Ridge Dr, Wausau, WI 54401-4173 Ph: (715) 847-2611 |
Dale B Anderson, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 2727 Plaza Drive, Wausau, WI 54401 Phone: 715-847-3269 | |
Daljeet Rishi, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 333 , Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2121 | |
Dr. Samer Jabbour, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 500 Wind Ridge Dr., Wausau, WI 54401 Phone: 715-847-2611 Fax: 715-847-2612 | |
Melinda Rae Wayde, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 411 Westwood Dr, Wausau, WI 54401 Phone: 715-847-2558 Fax: 715-261-6452 | |
Thomas G Schneider, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3000 Westhill Dr, Suite 303, Wausau, WI 54401 Phone: 715-847-2304 | |
John E Carroll Jr., MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2720 Plaza Dr, Suite 1400, Wausau, WI 54401 Phone: 715-847-2004 | |
Dr. Jan Z Ciejka, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2720 Plaza Dr Ste 1400a, Wausau, WI 54401 Phone: 715-847-0426 Fax: 715-847-0478 |