| Dr Oleg Chebotarev, MD | |
|
1818 N Meade St, Appleton, WI 54911-3454 | |
| (920) 731-8900 | |
| (920) 738-5369 |
| Full Name | Dr Oleg Chebotarev |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 31 Years |
| Location | 1818 N Meade St, Appleton, 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 |
|---|---|---|---|
| 1780647552 | NPI | - | NPPES |
| 223052989 | Other | TAX ID | |
| 0163431 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 25MA08401100 (New Jersey) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 21600 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
| Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
| Thedacare Medical Center-waupaca | Waupaca, WI | Hospital |
| Berlin Memorial Hospital | Berlin, WI | Hospital |
| Thedacare Medical Center - Shawano | Shawano, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thedacare Incorporated | 1759294887 | 533 |
| Entity Name | Thedacare Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
| Entity Name | Froedtert Manitowoc Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Oleg Chebotarev, MD 2073 Klockner Rd, Hamilton, NJ 08690-3414 Ph: (609) 584-1212 | Dr Oleg Chebotarev, MD 1818 N Meade St, Appleton, WI 54911-3454 Ph: (920) 731-8900 |
Dirk Steinert, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3925 N Gateway Dr, Appleton, WI 54913 Phone: 920-830-6877 Fax: 920-993-5037 | |
Mrs. Shannon Leah Schmidt, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2500 E Capitol Dr, Appleton, WI 54911 Phone: 920-364-3600 Fax: 920-364-3900 | |
Dr. Sanjeevkumar Ashok Patel, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2500 E Capitol Dr Ste 1700, Appleton, WI 54911 Phone: 920-734-4773 | |
Gail Mary Mcnutt, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 10 Tri Park Way, Appleton, WI 54914 Phone: 920-831-0070 Fax: 920-831-7936 | |
Dong Bo Yu, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-731-8900 Fax: 920-225-1414 | |
Deborah A Ihde, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2500 E Capitol Dr, Appleton, WI 54911 Phone: 920-731-5811 Fax: 920-738-6293 | |
Mary Jo Stastny, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 10 Tri Park Way, Appleton, WI 54914 Phone: 920-831-7919 Fax: 920-831-7939 |