Lyle J Stefanich, MD | |
1825 Logan Ave, Waterloo, IA 50703-1916 | |
(319) 235-3886 | |
Not Available |
Full Name | Lyle J Stefanich |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 20 Years |
Location | 1825 Logan Ave, Waterloo, Iowa |
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 |
---|---|---|---|
1497765143 | NPI | - | NPPES |
312182000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 28763 (Oklahoma) | Secondary |
207L00000X | Anesthesiology | 49054 (Minnesota) | Secondary |
207L00000X | Anesthesiology | 39601 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Marshfield Medical Center | Marshfield, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mchs Hospitals Inc | 5698071173 | 1030 |
Entity Name | Marshfield Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
Entity Name | Mchs Hospitals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
Mailing Address | Practice Location Address |
---|---|
Lyle J Stefanich, MD 2414 Minnetonka Dr, Cedar Falls, IA 50613-1526 Ph: (240) 543-3755 | Lyle J Stefanich, MD 1825 Logan Ave, Waterloo, IA 50703-1916 Ph: (319) 235-3886 |
Frank Edward Hawkins, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3254 Kimball Ave, Waterloo, IA 50702 Phone: 319-235-7246 Fax: 319-235-3017 | |
Dr. Keeran Ghandivel, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-3886 Fax: 319-233-1630 | |
Luis Avila, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2710 Saint Francis Dr, Suite 410, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5264 | |
Vijayasimha Reddy Pothula, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-5386 Fax: 319-235-3074 | |
Dr. Nathan S Hahn, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3421 W 9th St, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5264 | |
Robert N Federhofer, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2710 Saint Francis Dr, Suite 410, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5264 | |
Tahseen Husain, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-3886 Fax: 319-233-1630 |