Leonardo G Fugoso Jr, MD | |
733 W Clairemont Ave, Eau Claire, WI 54701-6101 | |
(715) 838-5222 | |
Not Available |
Full Name | Leonardo G Fugoso Jr |
---|---|
Gender | Male |
Speciality | Neurology |
Experience | 35 Years |
Location | 733 W Clairemont Ave, Eau Claire, 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 |
---|---|---|---|
1538358098 | NPI | - | NPPES |
1538358098 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 002949 (New York) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 60170 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mayo Clinic Health System Eau Claire Hospital | Eau claire, WI | Hospital |
Mayo Clinic Health System-red Cedar Inc | Menomonie, WI | Hospital |
Mayo Clinic Health System-northland | Barron, WI | Hospital |
Mayo Clinic Health System Chippewa Valley | Bloomer, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mayo Clinic Health System-northwest Wisconsin Region Inc | 4385553627 | 650 |
Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235588831 PECOS PAC ID: 4385553627 Enrollment ID: O20161109002075 |
Mailing Address | Practice Location Address |
---|---|
Leonardo G Fugoso Jr, MD 1400 Bellinger St, Eau Claire, WI 54703-5222 Ph: (715) 838-5222 | Leonardo G Fugoso Jr, MD 733 W Clairemont Ave, Eau Claire, WI 54701-6101 Ph: (715) 838-5222 |
David Andrew Nye, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Shana L Vifian Ray, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2116 Craig Rd, Eau Claire, WI 54701 Phone: 715-858-4500 | |
Scott T. Schmidt, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1221 Whipple St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Dr. Daniel Ralph Hanson, MD, PHD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1000 Starr Ave, Eau Claire, WI 54703 Phone: 715-858-4300 | |
John Alpheus Bartholow, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Dr. Christina Y Stanga, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1221 Whipple St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Anna W Cothron, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-8222 |