Edgardo C Jiongco, MD is a
Radiology - Diagnostic Radiology physician based in Fort Atkinson, Wisconsin. Edgardo C Jiongco is licensed to practice in Wisconsin (license number 20514) and his current practice location is 601 Handeyside Lane, Fort Atkinson, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 563-5544.
NPI number for Edgardo C Jiongco is 1720057771 and his current mailing address is 8007 Excelsior Drive, Madison, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720057771.
Physician's Profile
| Full Name | Edgardo C Jiongco |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 601 Handeyside Lane, Fort Atkinson, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720057771
- Provider Enumeration Date: 03/14/2006
- Last Update Date: 02/18/2008
Medical Identifiers
Medical identifiers for Edgardo C Jiongco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720057771 | NPI | - | NPPES |
| 31094800 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 20514 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Edgardo C Jiongco is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Edgardo C Jiongco, MD
8007 Excelsior Drive,
Madison, WI 53717
Ph: (608) 829-5238 | Edgardo C Jiongco, MD
601 Handeyside Lane,
Fort Atkinson, WI 53538
Ph: (920) 563-5544 |
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