Juan Sebastian Preciado-riestra, MD | |
400 S Townline Rd, Wautoma, WI 54982-6922 | |
(920) 787-4737 | |
Not Available |
Full Name | Juan Sebastian Preciado-riestra |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 26 Years |
Location | 400 S Townline Rd, Wautoma, 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 |
---|---|---|---|
1295739225 | NPI | - | NPPES |
521823 | Other | WI | MEDICARE PART A - CLINIC |
34313600 | Medicaid | WI | |
46438 | Other | WI | WI STATE LIC |
521824 | Other | WI | MEDICARE A MOBIL UNIT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 46438-020 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indianhead Medical Ctr | Shell lake, WI | Hospital |
Spooner Health System | Spooner, WI | Hospital |
Shell Lake Health Care Center | Shell lake, WI | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Indianhead Medical Center Shell Lake, Inc. | 6406748839 | 7 |
Entity Name | Indianhead Medical Center Shell Lake, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053859058 PECOS PAC ID: 6406748839 Enrollment ID: O20170331000695 |
Entity Name | Indianhead Medical Center Shell Lake, Inc. |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1568438125 PECOS PAC ID: 6406748839 Enrollment ID: O20210819002133 |
Mailing Address | Practice Location Address |
---|---|
Juan Sebastian Preciado-riestra, MD 933 Buffalo Ridge Ln, Waupaca, WI 54981-8192 Ph: (715) 252-2899 | Juan Sebastian Preciado-riestra, MD 400 S Townline Rd, Wautoma, WI 54982-6922 Ph: (920) 787-4737 |
Dr. William Russell Pinkonsly, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: N2934 Highway 22, Wautoma, WI 54982 Phone: 920-787-4613 | |
Dr. Gregrey G Hiltgen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 E Division St, Wautoma, WI 54982 Phone: 920-787-6900 | |
David N Crowther, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 E Division St, Wautoma, WI 54982 Phone: 920-787-6900 | |
Dr. Fozia Sarwar Alvi, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 E Division St, Wautoma, WI 54982 Phone: 920-787-6900 | |
Dr. Thomas G Chulski, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 E Division St, Wautoma, WI 54982 Phone: 920-787-6900 Fax: 920-787-6903 | |
Renee Murphy, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: N2934 Hwy 22 North, Wautoma, WI 54982 Phone: 920-787-4613 Fax: 920-787-5433 |