Gabriel Ticho, MD | |
1100 Lake View Dr, Wausau, WI 54403-6785 | |
(715) 848-4600 | |
(715) 845-5398 |
Full Name | Gabriel Ticho |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 37 Years |
Location | 1100 Lake View Dr, Wausau, 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 |
---|---|---|---|
1992711071 | NPI | - | NPPES |
31706300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 32157-020 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Human Services Board Serving North Central Health Care Facility | 4385617786 | 25 |
Entity Name | Human Services Board Serving North Central Health Care Facility |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205944543 PECOS PAC ID: 4385617786 Enrollment ID: O20040813001207 |
Mailing Address | Practice Location Address |
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Gabriel Ticho, MD 1100 Lake View Dr, Wausau, WI 54403-6785 Ph: (715) 848-4600 | Gabriel Ticho, MD 1100 Lake View Dr, Wausau, WI 54403-6785 Ph: (715) 848-4600 |
Ivan Stanko, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2727 Plaza Dr, Wausau, WI 54401 Phone: 715-847-3355 | |
Dr. Juan Fernandez Iii, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 2600 Stewart Ave Ste 270, Wausau, WI 54401 Phone: 715-842-8600 | |
Shamim Anwar, MD Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 | |
Paula A. Aston, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 425 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-0042 | |
Dr. Ania Fida, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1900 Westwood Dr, Wausau, WI 54401 Phone: 715-870-0906 | |
Richard L Minnihan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake View Dr, Wausau, WI 54403 Phone: 715-848-4600 Fax: 715-845-5398 | |
Christian De Gregorio, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 520 N 28th Ave, Suite 200, Wausau, WI 54401 Phone: 715-847-0094 |