Michael J Wilbur, MD | |
111 E Wisconsin Ave, Milwaukee, WI 53202-4815 | |
(414) 290-6720 | |
(414) 290-6755 |
Full Name | Michael J Wilbur |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 32 Years |
Location | 111 E Wisconsin Ave, Milwaukee, 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 |
---|---|---|---|
1841212016 | NPI | - | NPPES |
34467500 | Medicaid | WI | |
P00100606 | Other | WI | MEDICARE RAILROAD |
036102821 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 46387-020 (Wisconsin) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 036-102821 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Divine Savior Healthcare | Portage, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Portage Radiology, Sc | 8022911536 | 6 |
Graham Hospital Association | 2769375021 | 95 |
Entity Name | Portage Radiology, Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104834811 PECOS PAC ID: 8022911536 Enrollment ID: O20040131000075 |
Entity Name | Prairie Du Chien Memorial Hospital Association, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619024197 PECOS PAC ID: 4981698537 Enrollment ID: O20040414001308 |
Entity Name | Milwaukee Radiologists Ltd Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568564904 PECOS PAC ID: 7113915810 Enrollment ID: O20040503000756 |
Entity Name | Specialists In Medical Imaging Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841687951 PECOS PAC ID: 2163733544 Enrollment ID: O20180509000697 |
Mailing Address | Practice Location Address |
---|---|
Michael J Wilbur, MD 111 E Wisconsin Ave, Milwaukee, WI 53202-4815 Ph: (414) 290-6720 | Michael J Wilbur, MD 111 E Wisconsin Ave, Milwaukee, WI 53202-4815 Ph: (414) 290-6720 |
Dr. Hong Chen, MD Radiology Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Department Of Radiology, Milwaukee, WI 53226 Phone: 414-805-3700 Fax: 414-805-3777 | |
Sujan Fernando, Radiology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Department Of Radiology, Milwaukee, WI 53226 Phone: 414-805-3750 Fax: 414-259-9290 | |
Dr. Zacharias P Zitterkopf, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-649-6000 Fax: 414-649-5296 | |
Javier Alberto Lopez Puebla, MD Radiology Medicare: Medicare Enrolled Practice Location: 9200 W. Wisconsin Ave, Hub Radiology 3740-4, Milwaukee, WI 53226 Phone: 414-955-1195 Fax: 414-259-9290 | |
Allan Vannostrand, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 945 N 12th St, Ste E360, Milwaukee, WI 53233 Phone: 414-219-7226 | |
Dr. John T. Grum, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 945 N 12th St, Suite 3858, Milwaukee, WI 53233 Phone: 414-219-2000 | |
Dr. William Dennis Foley, MD Radiology Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Department Of Radiology, Milwaukee, WI 53226 Phone: 414-805-3700 Fax: 414-805-3777 |