| Dr Gerald M Wait, MD | |
|
2251 N Shore Dr, Rhinelander, WI 54501 | |
| (715) 361-4700 | |
| Not Available |
| Full Name | Dr Gerald M Wait |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 2251 N Shore Dr, Rhinelander, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467493510 | NPI | - | NPPES |
| 0159566 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 32076 (Iowa) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 32076 (Iowa) | Secondary |
| 208600000X | Surgery | 124 (Wisconsin) | Primary |
| Entity Name | Ottumwa Health Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386956290 PECOS PAC ID: 3971629924 Enrollment ID: O20100927001257 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gerald M Wait, MD 2251 N Shore Dr, Rhinelander, WI 54501-6710 Ph: (715) 361-4700 | Dr Gerald M Wait, MD 2251 N Shore Dr, Rhinelander, WI 54501 Ph: (715) 361-4700 |
Dr. Gary Edward Chizever, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2251 N Shore Dr Ste 200, Rhinelander, WI 54501 Phone: 715-361-4700 | |
Bruce K Jacobson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2251 N Shore Dr, Suite 200, Rhinelander, WI 54501 Phone: 715-361-4700 | |
Dr. Jeffrey Anthony Van Lier Ribbink, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2251 N Shore Dr, Rhinelander, WI 54501 Phone: 715-361-4700 |