Ruben Ngnitwew Massa A, MD | |
4221 Owl Creek Dr, Madison, WI 53718-4409 | |
(913) 980-3405 | |
Not Available |
Full Name | Ruben Ngnitwew Massa A |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 4221 Owl Creek Dr, Madison, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003430950 | NPI | - | NPPES |
2020014721 | Other | MO | MO BOARD OF HEALING ARTS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2020014721 (Missouri) | Secondary |
208D00000X | General Practice | 82418-20 (Wisconsin) | Primary |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191118000551 |
Mailing Address | Practice Location Address |
---|---|
Ruben Ngnitwew Massa A, MD 4221 Owl Creek Dr, Madison, WI 53718-4409 Ph: (913) 980-3405 | Ruben Ngnitwew Massa A, MD 4221 Owl Creek Dr, Madison, WI 53718-4409 Ph: (913) 980-3405 |
Richard Lee Owens, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1920 Monroe St, Madison, WI 53711 Phone: 608-251-6060 Fax: 608-251-3930 | |
Dr. Adam Haskins Page, MD General Practice Medicare: Medicare Enrolled Practice Location: Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400 | |
Dr. Amin Afrazi, MD,PH.D General Practice Medicare: Medicare Enrolled Practice Location: Uw Hospital And Clinics, 600 Highland Ave, H4/831, Madison, WI 53792 Phone: 608-263-1377 | |
Dr. Robin Louise Chene, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 530 W Lakeside St, Madison, WI 53715 Phone: 608-258-9721 | |
Dr. Kathy J Russeth, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 345 W Washington Ave Ste 307, Madison, WI 53703 Phone: 414-395-5435 | |
Jane E Mahoney, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 2880 University Ave, Madison, WI 53705 Phone: 608-263-7740 Fax: 608-262-6048 | |
Jessica Lynn Kelderman, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 5315 Wall St Ste 260, Madison, WI 53718 Phone: 608-807-1600 Fax: 608-467-1425 |