| Dr Mohammad Shirdel Gerdvisheh, MD | |
|
515 22nd Ave, Monroe, WI 53566-1569 | |
| (608) 324-2000 | |
| Not Available |
| Full Name | Dr Mohammad Shirdel Gerdvisheh |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 12 Years |
| Location | 515 22nd Ave, Monroe, 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 |
|---|---|---|---|
| 1386071124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 57.022933 (Ohio) | Secondary |
| 208600000X | Surgery | 69721 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christ Hospital | Cincinnati, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christ Hospital Medical Specialists Llc | 6507998432 | 115 |
| Christ Hospital Medical Specialists Llc | 6507998432 | 115 |
| Entity Name | Christ Hospital Medical Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124341649 PECOS PAC ID: 6507998432 Enrollment ID: O20100713000295 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mohammad Shirdel Gerdvisheh, MD 515 22nd Ave, Monroe, WI 53566-1569 Ph: (608) 324-2000 | Dr Mohammad Shirdel Gerdvisheh, MD 515 22nd Ave, Monroe, WI 53566-1569 Ph: (608) 324-2000 |
Richard Huntsman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 515 22nd Avenue, Monroe, WI 53566 Phone: 608-324-2000 | |
Nicholas P Maxwell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 515 22nd Ave, Monroe, WI 53566 Phone: 608-324-2000 | |
Vanessa Michalicka, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 515 22nd Ave, Monroe, WI 53566 Phone: 608-324-2000 |