| Brice Alvord, MD | |
|
225 Memorial Dr, Berlin, WI 54923-1243 | |
| (920) 361-5730 | |
| (920) 361-5519 |
| Full Name | Brice Alvord |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 17 Years |
| Location | 225 Memorial Dr, Berlin, 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 |
|---|---|---|---|
| 1679734669 | NPI | - | NPPES |
| 1679734669 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 62736-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Valley View Hospital Association | Glenwood springs, CO | Hospital |
| Aspen Valley Hospital | Aspen, CO | Hospital |
| Grand River Hospital District | Rifle, CO | Hospital |
| Uchealth Yampa Valley Medical Center | Steamboat springs, CO | Hospital |
| Mt San Rafael Hospital | Trinidad, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mountain Radiology Inc | 4688666761 | 69 |
| Mountain Radiology Inc | 4688666761 | 69 |
| Yampa Valley Medical Center | 5890685689 | 104 |
| 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 - 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 - 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 | Radiology Associates Of Appleton Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407941909 PECOS PAC ID: 6002851862 Enrollment ID: O20050622000606 |
| Entity Name | Mountain Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093823742 PECOS PAC ID: 4688666761 Enrollment ID: O20210506002060 |
| Mailing Address | Practice Location Address |
|---|---|
| Brice Alvord, MD 225 Memorial Dr, Berlin, WI 54923-1243 Ph: (920) 361-5730 | Brice Alvord, MD 225 Memorial Dr, Berlin, WI 54923-1243 Ph: (920) 361-5730 |
Philip A Keith, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 225 Memorial Dr, Berlin, WI 54923 Phone: 920-361-5524 Fax: 920-361-5486 |