Dr Bradley M Fideler, MD | |
N2950 State Road 67, Lake Geneva, WI 53147-2655 | |
(262) 245-0535 | |
Not Available |
Full Name | Dr Bradley M Fideler |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 35 Years |
Location | N2950 State Road 67, Lake Geneva, 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 |
---|---|---|---|
1629153077 | NPI | - | NPPES |
32141800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0106X | Orthopaedic Surgery - Hand Surgery | 36125 (Wisconsin) | Primary |
207XS0106X | Orthopaedic Surgery - Hand Surgery | (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Walworth Hospital & Medical Center | Lake geneva, WI | Hospital |
Mercy Health System Corp | Janesville, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health System Corporation | 7416860440 | 475 |
Mercy Health System Corporation | 7416860440 | 475 |
Entity Name | Mercy Health System Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031111000307 |
Mailing Address | Practice Location Address |
---|---|
Dr Bradley M Fideler, MD N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-0535 | Dr Bradley M Fideler, MD N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-0535 |
Dr. James L Knavel, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 352 Peller Rd, Lake Geneva, WI 53147 Phone: 262-248-4467 | |
Archibald J Loch, DPM Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-4990 Fax: 262-245-2248 | |
Craig C Lyon, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535 |