Jerry A Davis, MD | |
1836 South Ave, La Crosse, WI 54601-5429 | |
(608) 782-7300 | |
Not Available |
Full Name | Jerry A Davis |
---|---|
Gender | Male |
Speciality | Neurosurgery |
Experience | 33 Years |
Location | 1836 South Ave, La Crosse, 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 |
---|---|---|---|
1760487573 | NPI | - | NPPES |
32521000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 39878 (Wisconsin) | Primary |
207T00000X | Neurological Surgery | 51338 (Minnesota) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Gundersen Lutheran Medical Center | La crosse, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gundersen Lutheran Medical Center Inc | 2163331414 | 789 |
Gundersen Lutheran Medical Center Inc | 2163331414 | 789 |
Entity Name | Gundersen Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
Entity Name | Gundersen Lutheran Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
Mailing Address | Practice Location Address |
---|---|
Jerry A Davis, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Jerry A Davis, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
Michael J Ebersold, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Humbert G Sullivan, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Walter J Faillace, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 Fax: 608-775-4467 | |
Mark K Stevens, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-791-9831 Fax: 608-791-9814 | |
Kerry T White, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 Fax: 608-775-4429 | |
Dr. Douglas George Hughes, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |