| Dr Lucas Brian Ludeman, MD | |
|
1789 Shawano Ave, Green Bay, WI 54303-3243 | |
| (920) 499-1428 | |
| Not Available |
| Full Name | Dr Lucas Brian Ludeman |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 19 Years |
| Location | 1789 Shawano Ave, Green Bay, 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 |
|---|---|---|---|
| 1205080744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 51373020 (Wisconsin) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 55113 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bellin Memorial Hospital | Green bay, WI | Hospital |
| Allina United Hospital | Saint paul, MN | Hospital |
| Western Wisconsin Health | Baldwin, WI | Hospital |
| River Falls Area Hospital | River falls, WI | Hospital |
| Amery Hospital & Clinic | Amery, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Chartered | 1557394988 | 17 |
| Allina Health System | 4587573613 | 3584 |
| Altru Health System | 1355251604 | 554 |
| Allina Health System | 4587573613 | 3584 |
| Pembina County Memorial Hospital Association | 4789643719 | 76 |
| St. Joseph's Hospital And Health Center | 0547177560 | 111 |
| Towner County Medical Center Inc | 6800798497 | 12 |
| Radiology Chartered | 1557394988 | 17 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578507513 PECOS PAC ID: 4587573613 Enrollment ID: O20031218000417 |
| Entity Name | St. Croix Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20040205000217 |
| Entity Name | Radiology Chartered |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760416895 PECOS PAC ID: 1557394988 Enrollment ID: O20050915000492 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407395247 PECOS PAC ID: 4587573613 Enrollment ID: O20221214000269 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lucas Brian Ludeman, MD 1789 Shawano Ave, Green Bay, WI 54303-3243 Ph: (920) 499-1428 | Dr Lucas Brian Ludeman, MD 1789 Shawano Ave, Green Bay, WI 54303-3243 Ph: (920) 499-1428 |
Dr. Nami P Zarvan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2941 S Ridge Rd, Green Bay, WI 54304 Phone: 920-336-4096 Fax: 920-336-8093 | |
Sally Schlise, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-433-8184 | |
Dr. Jeremy Boone Mccue, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2941 S Ridge Rd, Green Bay, WI 54304 Phone: 920-336-4096 Fax: 920-336-8093 | |
William L Hingtgen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1789 Shawano, Green Bay, WI 54303 Phone: 920-499-1428 Fax: 920-499-5808 | |
Dr. James I Sladky, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2941 S Ridge Rd, Green Bay, WI 54304 Phone: 920-336-4096 Fax: 920-336-8093 | |
Patrick M Carrigan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1789 Shawano Ave, Green Bay, WI 54303 Phone: 920-499-1428 Fax: 920-499-5808 | |
Alison Jean Meyer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-496-4700 |