| Daniel C Medina, MD | |
|
Surgical Associates, Sc, 2400 Pine Ridge Blvd, Wausau, WI 54401 | |
| (715) 847-2022 | |
| (715) 843-1220 |
| Full Name | Daniel C Medina |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 19 Years |
| Location | Surgical Associates, Sc, Wausau, 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 |
|---|---|---|---|
| 1376868281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | M-1942 (Guam) | Secondary |
| 208600000X | Surgery | 1924-320 (Wisconsin) | Primary |
| 208600000X | Surgery | MD456117 (Pennsylvania) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Guam Regional Medical City | Dededo, GU | Hospital |
| Guam Memorial Hospital Authority | Tamuning, GU | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hafa Specialist Group Llp | 3779482286 | 7 |
| Guam Memorial Hospital | 5890781694 | 113 |
| Guam Healthcare Development Incorporated | 9234351776 | 174 |
| Entity Name | Hafa Specialist Group Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235141060 PECOS PAC ID: 3779482286 Enrollment ID: O20040105000249 |
| Entity Name | Guam Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366519027 PECOS PAC ID: 5890781694 Enrollment ID: O20040426000038 |
| Entity Name | Guam Healthcare Development Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326447939 PECOS PAC ID: 9234351776 Enrollment ID: O20150326000266 |
| Entity Name | Hafa Specialist Group Llp |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1881929842 PECOS PAC ID: 3779482286 Enrollment ID: O20160503000417 |
| Entity Name | Guam X-ray |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376767426 PECOS PAC ID: 8123180742 Enrollment ID: O20210325002365 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel C Medina, MD 2400 Pine Ridge Blvd, Wausau, WI 54401 Ph: (715) 847-2022 | Daniel C Medina, MD Surgical Associates, Sc, 2400 Pine Ridge Blvd, Wausau, WI 54401 Ph: (715) 847-2022 |
Dr. Corrine Blumling Miller, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2400 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2022 | |
Dr. Gary Theodore Sweet Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2606 Stewart Ave Ste 200, Wausau, WI 54401 Phone: 715-847-2022 | |
Dr. Charles R. Alden, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2400 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2022 Fax: 715-847-2775 | |
Dr. Paul Joseph Chestovich, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2400 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2022 | |
Dr. Stacey Rae Lejeune, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2400 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2022 | |
Ralph B Fairchild Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2400 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2022 | |
Benjamin James Herdrich, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2400 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2022 |