| Dr Scott M Ross, MD | |
|
18601 Lincoln St, Whitehall, WI 54773-8605 | |
| (715) 538-4361 | |
| Not Available |
| Full Name | Dr Scott M Ross |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 44 Years |
| Location | 18601 Lincoln St, Whitehall, 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 |
|---|---|---|---|
| 1417944349 | NPI | - | NPPES |
| 130684 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 21367 (Arizona) | Secondary |
| 207N00000X | Dermatology | 29881 (Minnesota) | Secondary |
| 207N00000X | Dermatology | 64674 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Madelia Community Hospital | Madelia, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Madelia Health | 1254230816 | 22 |
| Az Dermatology Llc | 5698850543 | 18 |
| Entity Name | Avera Marshall |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20031106000219 |
| Entity Name | Madelia Health |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1912999137 PECOS PAC ID: 1254230816 Enrollment ID: O20040102000800 |
| Entity Name | Madelia Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912999137 PECOS PAC ID: 1254230816 Enrollment ID: O20071101000708 |
| Entity Name | Avera Marshall |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20091209000435 |
| Entity Name | Minnesota Medical And Rehabilitative Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154302545 PECOS PAC ID: 6406764703 Enrollment ID: O20100728001200 |
| Entity Name | Pinnacle Dermatology Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861930984 PECOS PAC ID: 8628353380 Enrollment ID: O20200715003001 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Scott M Ross, MD 18601 Lincoln St, Whitehall, WI 54773-8605 Ph: (715) 538-4361 | Dr Scott M Ross, MD 18601 Lincoln St, Whitehall, WI 54773-8605 Ph: (715) 538-4361 |