| Dr Gavin Mark Ambrosi, MD | |
|
9601 Townline Rd, Minocqua, WI 54548-9099 | |
| (715) 358-1000 | |
| Not Available |
| Full Name | Dr Gavin Mark Ambrosi |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 11 Years |
| Location | 9601 Townline Rd, Minocqua, 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 |
|---|---|---|---|
| 1700299203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 4301105071 (Michigan) | Secondary |
| 208600000X | Surgery | 70554-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Flambeau Hospital | Park falls, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mchs Hospitals Inc | 5698071173 | 1045 |
| Flambeau Hospital, Inc. | 9032029871 | 54 |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Flambeau Hospital, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1700963048 PECOS PAC ID: 9032029871 Enrollment ID: O20070828000478 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Entity Name | Flambeau Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194317966 PECOS PAC ID: 9032029871 Enrollment ID: O20210409000059 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gavin Mark Ambrosi, MD 31420 Fairfax St, Livonia, MI 48152-1543 Ph: () - | Dr Gavin Mark Ambrosi, MD 9601 Townline Rd, Minocqua, WI 54548-9099 Ph: (715) 358-1000 |
Timothy S. Phillips, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 9601 Townline Rd, Minocqua, WI 54548 Phone: 715-358-1000 | |
Michael J Schaars, MD Surgery Medicare: Medicare Enrolled Practice Location: 9601 Townline Rd, Minocqua, WI 54548 Phone: 715-358-1000 | |
Michael J Monson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 9601 Townline Rd, Minocqua, WI 54548 Phone: 715-358-1000 | |
Barbara Boyer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 9601 Townline Rd, Minocqua, WI 54548 Phone: 715-358-1222 | |
Bradley A Bourkland, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 9601 Townline Rd, Minocqua, WI 54548 Phone: 715-358-1000 |