| Dr Brian Van Le, MD | |
|
5001 Lake Mendota Dr, Madison, WI 53705-1307 | |
| (703) 477-5514 | |
| Not Available |
| Full Name | Dr Brian Van Le |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 19 Years |
| Location | 5001 Lake Mendota Dr, Madison, 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 |
|---|---|---|---|
| 1063668119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 125053504 (Illinois) | Secondary |
| 208800000X | Urology | 62203 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3022 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Van Le, MD 5001 Lake Mendota Dr, Madison, WI 53705-1307 Ph: () - | Dr Brian Van Le, MD 5001 Lake Mendota Dr, Madison, WI 53705-1307 Ph: (703) 477-5514 |
Nathan Jung, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1821 S Stoughton Rd, Madison, WI 53716 Phone: 608-260-6000 Fax: 608-260-6881 | |
Dr. Daniel D Shapiro, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-4757 | |
Parth Shah, Urology Medicare: Medicare Enrolled Practice Location: Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400 | |
John D Wegenke, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1 S Park St, Madison, WI 53715 Phone: 608-287-2900 Fax: 608-287-2910 | |
Zoe Louise Blumenthal, MD Urology Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400 | |
Dr. Elizabeth Leone Koehne, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-4757 Fax: 608-890-7407 |