| Aspirus Weston Clinic | |
|
4005 Community Center Dr Weston WI 54476-4139 | |
| (715) 241-5400 | |
| Not Available |
| Full Name | Aspirus Weston Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 4005 Community Center Dr, Weston, Wisconsin |
| Authorized Official Name and Position | Jerry M Yang (SVP & CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7158472526 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspirus Weston Clinic 29980 Network Pl Chicago IL 60673-1299 Ph: (715) 847-2304 | Aspirus Weston Clinic 4005 Community Center Dr Weston WI 54476-4139 Ph: (715) 241-5400 |
| NPI Number | 1720177371 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 06/14/2024 |
| Medicare PECOS PAC ID | 1052223625 |
|---|---|
| Medicare Enrollment ID | O20100930018600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720177371 | NPI | - | NPPES |
| 1720177371 | Medicaid | WI | |
| 52D1020282 | Other | WI | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (Wisconsin) | Primary |
Preventive Cardiology Of Central Wisconsin Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3910 Weston Ave, Weston, WI 54476 Phone: 715-370-5433 Fax: 715-359-3485 | |
Diagnostic & Treatment Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3401 Cranberry Blvd, Weston, WI 54476 Phone: 715-393-2489 Fax: 715-241-9475 | |
Aspirus Outpatient Therapies Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3402 Howland Ave, Suite 100, Weston, WI 54476 Phone: 715-355-5701 | |
Innovative Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2114 Schofield Ave, Weston, WI 54476 Phone: 715-355-4224 Fax: 715-355-4120 | |
Aspirus Weston Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4005 Community Center Dr, Weston, WI 54476 Phone: 715-241-5400 | |
3d Healthcare Consulting Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7805 Birch St, Weston, WI 54476 Phone: 715-298-3833 |