| Dr Richard D Waters, MD | |
|
9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | |
| (414) 805-3666 | |
| Not Available |
| Full Name | Dr Richard D Waters |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 22 Years |
| Location | 9200 W Wisconsin Ave, Milwaukee, 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 |
|---|---|---|---|
| 1568633717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A108812 (California) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 48979 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Queen Of The Valley Medical Center | Napa, CA | Hospital |
| Saint Agnes Medical Center | Fresno, CA | Hospital |
| Adventist Health St Helena | Saint helena, CA | Hospital |
| Community Regional Medical Center | Fresno, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Medical Group Of Napa | 7113906397 | 32 |
| Saint Agnes Medical Foundation | 7618946369 | 137 |
| Entity Name | Radiology Medical Group Of Napa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285666313 PECOS PAC ID: 7113906397 Enrollment ID: O20040720000732 |
| Entity Name | Saint Agnes Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558819482 PECOS PAC ID: 7618946369 Enrollment ID: O20170125002669 |
| Entity Name | Forefront Radiology Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689232449 PECOS PAC ID: 3971936857 Enrollment ID: O20191206001517 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard D Waters, MD 10000 W Innovation Dr, Third Floor, Milwaukee, WI 53226-4837 Ph: (414) 456-5006 | Dr Richard D Waters, MD 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: (414) 805-3666 |
Dr. Hong Chen, MD Radiology Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Department Of Radiology, Milwaukee, WI 53226 Phone: 414-805-3700 Fax: 414-805-3777 | |
Dr. Alessandro Vidoni, Radiology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-2060 | |
Sujan Fernando, Radiology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Department Of Radiology, Milwaukee, WI 53226 Phone: 414-805-3750 Fax: 414-259-9290 | |
Dr. Zacharias P Zitterkopf, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-649-6000 Fax: 414-649-5296 | |
Javier Alberto Lopez Puebla, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9200 W. Wisconsin Ave, Hub Radiology 3740-4, Milwaukee, WI 53226 Phone: 414-955-1195 Fax: 414-259-9290 | |
James Benjamin Moroney, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 8701 W Watertown Plank Rd, Milwaukee, WI 53226 Phone: 414-456-6800 | |
Allan Vannostrand, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 945 N 12th St, Ste E360, Milwaukee, WI 53233 Phone: 414-219-7226 |