Timothy R Edison, MD | |
100 Theda Clark Medical Plz Ste 400, Neenah, WI 54956-2763 | |
(920) 725-4527 | |
(920) 729-2378 |
Full Name | Timothy R Edison |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 38 Years |
Location | 100 Theda Clark Medical Plz Ste 400, Neenah, 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 |
---|---|---|---|
1861425902 | NPI | - | NPPES |
32235600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 036078276 (Illinois) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | 37531 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
Thedacare Medical Center - New London | New london, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Surgical Associates Of Neenah, S.c. | 4486625258 | 27 |
Entity Name | Surgical Associates Of Neenah, S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285792341 PECOS PAC ID: 4486625258 Enrollment ID: O20040804001098 |
Mailing Address | Practice Location Address |
---|---|
Timothy R Edison, MD 100 Theda Clark Medical Plz Ste 400, Neenah, WI 54956-2763 Ph: (920) 725-4527 | Timothy R Edison, MD 100 Theda Clark Medical Plz Ste 400, Neenah, WI 54956-2763 Ph: (920) 725-4527 |
Kelsey Kienert, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 101 Main St, Neenah, WI 54956 Phone: 920-720-1463 | |
Dr. Benjamin J Duffy, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 200 Theda Clark Medical Plz Ste 420, Neenah, WI 54956 Phone: 920-720-7211 | |
William L Nelson, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 101 Main St, Neenah, WI 54956 Phone: 920-727-4220 | |
Dr. Barbara L Lauderdale, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 804 E Forest Ave, Neenah, WI 54956 Phone: 920-722-6692 | |
Dr. John Mihailidis, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-358-1223 | |
Taylor B Doberstein, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 200 Theda Clark Medical Plz Ste 240, Neenah, WI 54956 Phone: 920-831-5050 Fax: 920-727-4511 | |
James R Burns, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 101 Main St, Neenah, WI 54956 Phone: 920-727-4220 |