| Dr Horace Pei Lo, MD | |
|
225 Memorial Dr Ste 2000, Berlin, WI 54923-1243 | |
| (920) 361-5340 | |
| Not Available |
| Full Name | Dr Horace Pei Lo |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 29 Years |
| Location | 225 Memorial Dr Ste 2000, Berlin, 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 |
|---|---|---|---|
| 1114988466 | NPI | - | NPPES |
| 1114988466 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 39102-020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ripon Medical Center | Ripon, WI | Hospital |
| Waupun Memorial Hospital | Waupun, WI | Hospital |
| St Agnes Hospital | Fond du lac, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Agnesian Healthcare Inc | 1658289624 | 360 |
| Entity Name | Agnesian Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
| Entity Name | Prairie Ridge Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154403657 PECOS PAC ID: 6800791484 Enrollment ID: O20040210000777 |
| Entity Name | Watertown Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Horace Pei Lo, MD 225 Memorial Dr Ste 2000, Berlin, WI 54923-1243 Ph: (920) 361-5340 | Dr Horace Pei Lo, MD 225 Memorial Dr Ste 2000, Berlin, WI 54923-1243 Ph: (920) 361-5340 |
Barry L Rogers, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 225 Memorial Dr, Ste 2000, Berlin, WI 54923 Phone: 920-361-5340 Fax: 920-361-5335 | |
Darren G Nelson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 225 Memorial Dr, Ste 2000, Berlin, WI 54923 Phone: 920-361-5340 Fax: 920-361-5335 |