Timothy R Roberts, MD | |
601 Grove Ave, Wild Rose, WI 54984-6903 | |
(920) 622-3257 | |
Not Available |
Full Name | Timothy R Roberts |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 20 Years |
Location | 601 Grove Ave, Wild Rose, 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 |
---|---|---|---|
1386612836 | NPI | - | NPPES |
34899200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 48464 (Wisconsin) | Secondary |
207Q00000X | Family Medicine | 48464 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thedacare Medical Center - Wild Rose | Wild rose, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Thedacare, Incorporated | 1759294887 | 509 |
Entity Name | Thedacare, Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Entity Name | Thedacare Medical Center - Shawano, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548260839 PECOS PAC ID: 5890605836 Enrollment ID: O20031117000117 |
Entity Name | Thedacare Medical Center - Berlin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760413777 PECOS PAC ID: 0446151666 Enrollment ID: O20040120000214 |
Entity Name | Thedacare Medical Center - New London, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538127220 PECOS PAC ID: 5698664480 Enrollment ID: O20040311000254 |
Entity Name | Thedacare Medical Center - Waupaca, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780782680 PECOS PAC ID: 3072504216 Enrollment ID: O20040524000645 |
Entity Name | Thedacare Medical Center - Wild Rose, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043263999 PECOS PAC ID: 6507840923 Enrollment ID: O20040615000235 |
Entity Name | Thedacare Medical Center - Wild Rose, Inc. |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1043263999 PECOS PAC ID: 6507840923 Enrollment ID: O20070305000280 |
Mailing Address | Practice Location Address |
---|---|
Timothy R Roberts, MD 601 Grove Ave, Wild Rose, WI 54984-6903 Ph: (920) 622-3257 | Timothy R Roberts, MD 601 Grove Ave, Wild Rose, WI 54984-6903 Ph: (920) 622-3257 |
Gilbert D. Steffanides, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Ave, Wild Rose, WI 54984 Phone: 920-622-6017 | |
Sabahat Mohsin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 Grove Ave, Wild Rose, WI 54984 Phone: 920-622-3257 | |
Teresita Romana, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Ave, Wild Rose, WI 54984 Phone: 920-622-5560 Fax: 920-622-4198 | |
Michael R Staudinger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Ave, Wild Rose, WI 54984 Phone: 920-622-5560 Fax: 920-622-5598 | |
Dr. Verona Maierhofer Ittiara, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Ave, Wild Rose, WI 54984 Phone: 920-622-3257 | |
Chandler D Caves, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Grove Ave, Wild Rose, WI 54984 Phone: 920-622-3257 Fax: 920-622-6020 | |
Chad E Voskuil, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Grove Ave, Wild Rose, WI 54984 Phone: 920-622-3257 Fax: 920-622-5593 |