Robert D Lefsrud, MD | |
1024 N Main St, Rice Lake, WI 54868-1236 | |
(715) 234-8151 | |
(715) 234-9750 |
Full Name | Robert D Lefsrud |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 44 Years |
Location | 1024 N Main St, Rice Lake, 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 |
---|---|---|---|
1144208273 | NPI | - | NPPES |
131314200 | Medicaid | MN | |
32370800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 43958 (Wisconsin) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 38540 (Minnesota) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Divine Savior Healthcare | Portage, WI | Hospital |
Spooner Health System | Spooner, WI | Hospital |
Burnett Medical Center Inc | Grantsburg, WI | Hospital |
St Marys Hospital Superior | Superior, WI | Hospital |
Indianhead Medical Ctr | Shell lake, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Diagnostic Radiology Associates Of Wisconsin Sc | 5799752192 | 3 |
Portage Radiology, Sc | 8022911536 | 6 |
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 | Diagnostic Radiology Associates Of Wisconsin Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326116781 PECOS PAC ID: 5799752192 Enrollment ID: O20040915000262 |
Mailing Address | Practice Location Address |
---|---|
Robert D Lefsrud, MD 1024 N Main St, Rice Lake, WI 54868-1236 Ph: (715) 234-8151 | Robert D Lefsrud, MD 1024 N Main St, Rice Lake, WI 54868-1236 Ph: (715) 234-8151 |
Thomas Michael Pelant, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1024 N Main St, Rice Lake, WI 54868 Phone: 715-234-8151 Fax: 715-234-9750 | |
Steven F Krah, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
James Robert Baer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-4450 | |
Natasha Eshbaugh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1024 N Main St, Rice Lake, WI 54868 Phone: 715-234-8151 Fax: 715-234-9750 | |
Richard W Swanson, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1024 N Main St, Rice Lake, WI 54868 Phone: 715-234-8151 Fax: 715-234-7950 | |
Gary A Johnson, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1024 N Main St, Rice Lake, WI 54868 Phone: 715-234-8151 Fax: 715-234-9750 |