| Dr Mohamed Shaif Sajid Yusufishaq, MD | |
|
13250 Washington Ave, Mount Pleasant, WI 53177-1516 | |
| (262) 799-8700 | |
| Not Available |
| Full Name | Dr Mohamed Shaif Sajid Yusufishaq |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 13250 Washington Ave, Mount Pleasant, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689134314 | NPI | - | NPPES |
| 100277429 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0700X | Radiology - Neuroradiology | 83428-20 (Wisconsin) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 83248-20 (Wisconsin) | Primary |
| Entity Name | University Of Wisconsin Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
| Entity Name | Group Health Cooperative Of South Central Wisconsin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245260165 PECOS PAC ID: 3870489586 Enrollment ID: O20040227000306 |
| Entity Name | Fort Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417993361 PECOS PAC ID: 0840189718 Enrollment ID: O20040319001411 |
| Entity Name | Richland Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659301273 PECOS PAC ID: 7618861618 Enrollment ID: O20110318000356 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mohamed Shaif Sajid Yusufishaq, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Dr Mohamed Shaif Sajid Yusufishaq, MD 13250 Washington Ave, Mount Pleasant, WI 53177-1516 Ph: (262) 799-8700 |
Lewis A Rosenberg, MD PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3809 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-5000 |