| David L Isaacs, MD | |
|
945 N 12th St, Great Lakes Radiologists, Milwaukee, WI 53202 | |
| (262) 786-3107 | |
| (262) 780-0442 |
| Full Name | David L Isaacs |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | 945 N 12th St, Milwaukee, 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 |
|---|---|---|---|
| 1366410730 | NPI | - | NPPES |
| 34659100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 47962 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Of South Bend | South bend, IN | Hospital |
| Elkhart General Hospital | Elkhart, IN | Hospital |
| Three Rivers Health | Three rivers, MI | Hospital |
| Community Hospital Of Bremen Inc | Bremen, IN | Hospital |
| Goshen Hospital | Goshen, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Inc | 5890695464 | 35 |
| Radiology Inc | 5890695464 | 35 |
| Radiology Inc | 5890695464 | 35 |
| Entity Name | Bloomington Radiology S C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700831773 PECOS PAC ID: 5092797621 Enrollment ID: O20040607000336 |
| Entity Name | Ft Jesse Imaging Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245287143 PECOS PAC ID: 1951379106 Enrollment ID: O20070117000072 |
| Entity Name | Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578557815 PECOS PAC ID: 5890695464 Enrollment ID: O20230628003051 |
| Mailing Address | Practice Location Address |
|---|---|
| David L Isaacs, MD 945 N 12th St, Great Lakes Radiologists, Milwaukee, WI 53202 Ph: (262) 786-3107 | David L Isaacs, MD 945 N 12th St, Great Lakes Radiologists, Milwaukee, WI 53202 Ph: (262) 786-3107 |
Dr. Hong Chen, MD Radiology Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Department Of Radiology, Milwaukee, WI 53226 Phone: 414-805-3700 Fax: 414-805-3777 | |
Dr. Alessandro Vidoni, Radiology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-2060 | |
Sujan Fernando, Radiology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Department Of Radiology, Milwaukee, WI 53226 Phone: 414-805-3750 Fax: 414-259-9290 | |
Dr. Zacharias P Zitterkopf, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-649-6000 Fax: 414-649-5296 | |
Javier Alberto Lopez Puebla, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9200 W. Wisconsin Ave, Hub Radiology 3740-4, Milwaukee, WI 53226 Phone: 414-955-1195 Fax: 414-259-9290 | |
James Benjamin Moroney, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 8701 W Watertown Plank Rd, Milwaukee, WI 53226 Phone: 414-456-6800 | |
Allan Vannostrand, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 945 N 12th St, Ste E360, Milwaukee, WI 53233 Phone: 414-219-7226 |