Herbert J Wiser, MD | |
800 N 1st St, Springfield, IL 62702-3719 | |
(217) 528-7541 | |
(217) 527-2620 |
Full Name | Herbert J Wiser |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 16 Years |
Location | 800 N 1st St, Springfield, Illinois |
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 |
---|---|---|---|
1053573147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 154907 (Alaska) | Primary |
208800000X | Urology | 036132577 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Bellin Memorial Hospital | Green bay, WI | Hospital |
Bellin Health Oconto Hospital | Oconto, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Urology Associates Of Green Bay Sc | 1658350616 | 10 |
Entity Name | Urology Specialists Of Wisconsin S.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831132018 PECOS PAC ID: 2365428950 Enrollment ID: O20040625000044 |
Entity Name | Urology Associates Of Green Bay Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427067263 PECOS PAC ID: 1658350616 Enrollment ID: O20040714001388 |
Mailing Address | Practice Location Address |
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Herbert J Wiser, MD Po Box 73720, Fairbanks, AK 99707-3720 Ph: (907) 459-3500 | Herbert J Wiser, MD 800 N 1st St, Springfield, IL 62702-3719 Ph: (217) 528-7541 |
Chandler Nicholas Hudson, MD Urology Medicare: Medicare Enrolled Practice Location: 747 N Rutledge St, Springfield, IL 62702 Phone: 217-545-3262 Fax: 217-545-7305 | |
Joe Miller, M.D. Urology Medicare: Medicare Enrolled Practice Location: 301 N 8th St, Springfield, IL 62701 Phone: 217-545-7500 Fax: 217-545-7305 | |
Dr. David A. Roszhart, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 800 N. 1st Street, Springfield, IL 62702 Phone: 217-528-7541 | |
Roberta Lynn Koeppen, MD Urology Medicare: Medicare Enrolled Practice Location: 747 N Rutledge St, Springfield, IL 62702 Phone: 217-545-3262 Fax: 217-545-7305 | |
Robert Henry Blackwell, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 301 N 8th St, Pav 4b, Springfield, IL 62701 Phone: 217-545-8000 Fax: 217-545-7305 | |
Kevin Mcvary, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 301 N 8th St, Ste Pav 4b, Springfield, IL 62701 Phone: 217-545-8000 Fax: 217-545-7305 |