| Dr Haleh Van Vliet, MD | |
|
5162 Anton Dr, Apt 301, Fitchburg, WI 53719-1777 | |
| (423) 316-9171 | |
| Not Available |
| Full Name | Dr Haleh Van Vliet |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 5162 Anton Dr, Fitchburg, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932466216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD469738 (Pennsylvania) | Secondary |
| 207P00000X | Emergency Medicine | 62233 (Wisconsin) | Primary |
| Entity Name | Tower Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609291350 PECOS PAC ID: 7618889213 Enrollment ID: O20040311000072 |
| Entity Name | Phoenixville Clinic Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891866182 PECOS PAC ID: 5799796850 Enrollment ID: O20060606000128 |
| Entity Name | Pottstown Clinic Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649341934 PECOS PAC ID: 6406857184 Enrollment ID: O20070123000573 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Haleh Van Vliet, MD 1600 E High St, Pottstown, PA 19464-5008 Ph: (610) 327-7744 | Dr Haleh Van Vliet, MD 5162 Anton Dr, Apt 301, Fitchburg, WI 53719-1777 Ph: (423) 316-9171 |
Dr. Philip S Bedrossian, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5460 Caddis Bend Unit #301, Fitchburg, WI 53711 Phone: 608-217-8415 | |
Mohammed Ghouse, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5729 Rosslare Ln, Fitchburg, WI 53711 Phone: 608-278-8673 |