Matthew Ryan Purcell, DO | |
430 E Division St, Fond Du Lac, WI 54935-4560 | |
(812) 243-9158 | |
Not Available |
Full Name | Matthew Ryan Purcell |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 12 Years |
Location | 430 E Division St, Fond Du Lac, 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 |
---|---|---|---|
1043552094 | NPI | - | NPPES |
100069020 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 66928-21 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Agnes Hospital | Fond du lac, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Agnesian Healthcare Inc | 1658289624 | 335 |
Entity Name | Agnesian Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Entity Name | Mercy Health System Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Entity Name | North American Partners In Anesthesia Wisconsin Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720733454 PECOS PAC ID: 8729475447 Enrollment ID: O20220428000422 |
Mailing Address | Practice Location Address |
---|---|
Matthew Ryan Purcell, DO 14 Wisteria Court, Fond Du Lac, WI 54937 Ph: (812) 243-9158 | Matthew Ryan Purcell, DO 430 E Division St, Fond Du Lac, WI 54935-4560 Ph: (812) 243-9158 |
Anthony K Strigenz, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-2300 | |
Jacqueline Lee Bogan, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300 Fax: 608-262-6247 | |
Dr. Jacob M Waidelich, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8340 Fax: 920-926-8370 | |
Ilya A Khotimsky, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300 | |
Henry T Chang, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-2300 | |
Thomas J Kunkel, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300 |