Larry M Ojeda, MD | |
1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842 | |
(608) 364-2200 | |
(608) 364-2705 |
Full Name | Larry M Ojeda |
---|---|
Gender | Male |
Speciality | Urology |
Location | 1905 E. Huebbe Parkway, Beloit, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265541999 | NPI | - | NPPES |
10655 | Other | DEAN HEALTH PLAN | |
1265541999 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 28270 (Wisconsin) | Primary |
208800000X | Urology | 036-057903 (Illinois) | Secondary |
Entity Name | Beloit Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841485984 PECOS PAC ID: 8224947858 Enrollment ID: O20080204000702 |
Mailing Address | Practice Location Address |
---|---|
Larry M Ojeda, MD 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842 Ph: (608) 364-2200 | Larry M Ojeda, MD 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842 Ph: (608) 364-2200 |
Kevin M Tomera, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1905 E. Huebbe Parkway, Beloit Clinic, Beloit, WI 53511 Phone: 608-364-2470 Fax: 608-363-7378 | |
Michael A Donnelly, DO FACOS Urology Medicare: Accepting Medicare Assignments Practice Location: 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511 Phone: 608-364-2200 Fax: 608-364-2705 |