Edward J Chesna, MD | |
481 E Division St, Fond Du Lac, WI 54935-3748 | |
(920) 921-5676 | |
(920) 921-2684 |
Full Name | Edward J Chesna |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 481 E Division St, Fond Du Lac, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710959341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 29060 (Wisconsin) | Primary |
Entity Name | Aurora Health Care Central, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922053107 PECOS PAC ID: 4688583677 Enrollment ID: O20040308000588 |
Mailing Address | Practice Location Address |
---|---|
Edward J Chesna, MD 481 E Division St, Po Box 910, Fond Du Lac, WI 54935-3748 Ph: (920) 921-5676 | Edward J Chesna, MD 481 E Division St, Fond Du Lac, WI 54935-3748 Ph: (920) 921-5676 |
Gregory B Kapala, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 481 E Division St, Fond Du Lac, WI 54935 Phone: 920-921-5676 Fax: 920-921-2684 | |
Hong Chu Wang, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 480 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4101 Fax: 920-926-4190 | |
Dr. Filip T Troicki, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 480 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4100 | |
Richard E Simpson Iii, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 481 E Division St, Fond Du Lac, WI 54935 Phone: 920-921-5676 Fax: 920-921-2684 | |
Kevin L Ketchum, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 481 E Division St, Fond Du Lac, WI 54935 Phone: 920-921-5676 Fax: 920-921-2684 | |
Abel R Castellano, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 481 E Division St, Fond Du Lac, WI 54935 Phone: 920-921-5676 Fax: 920-921-2684 |