| Dr Sean E Theisen, MD | |
|
5333 Mcauley Dr, Suite 6016, Ypsilanti, MI 48197-1014 | |
| (734) 712-8350 | |
| (734) 712-8351 |
| Full Name | Dr Sean E Theisen |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 30 Years |
| Location | 5333 Mcauley Dr, Ypsilanti, Michigan |
| 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 |
|---|---|---|---|
| 1508805243 | NPI | - | NPPES |
| 4692578 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301067468 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Agnes Hospital | Fond du lac, WI | Hospital |
| Ascension Ne Wisconsin - St Elizabeth Campus | Appleton, WI | Hospital |
| Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
| Southwest Health Center | Platteville, WI | Hospital |
| Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Associates Of The Fox Valley Sc | 0446152748 | 70 |
| Orthopedic And Sports Medicine Specialists Of Green Bay Sc | 9739264714 | 51 |
| Entity Name | Huron Valley Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659398519 PECOS PAC ID: 2961466859 Enrollment ID: O20041119000401 |
| Entity Name | X-ray Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770536815 PECOS PAC ID: 7315859832 Enrollment ID: O20220203002443 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sean E Theisen, MD 5333 Mcauley Dr, Suite 6016, Ypsilanti, MI 48197-1014 Ph: (734) 712-8350 | Dr Sean E Theisen, MD 5333 Mcauley Dr, Suite 6016, Ypsilanti, MI 48197-1014 Ph: (734) 712-8350 |
Dr. Vishal Bhagat, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5333 Mcauley Dr, Suite 6016, Ypsilanti, MI 48197 Phone: 734-712-8350 Fax: 734-712-8351 | |
Dr. Gil S. Borlaza, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5333 Mcauley Dr, Suite 6016, Ypsilanti, MI 48197 Phone: 734-712-8350 Fax: 734-712-8351 | |
Oneil Lee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5333 Mcauley Dr, Suite 6016, Ypsilanti, MI 48197 Phone: 734-712-8350 Fax: 734-712-8351 | |
Owen Stark, Radiology Medicare: Accepting Medicare Assignments Practice Location: 5333 Mcauley Dr, Suite 6016, Ypsilanti, MI 48197 Phone: 734-712-8350 Fax: 734-712-8251 | |
Dr. Atif Siddiqi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5333 Mcauley Dr, Suite 6016, Ypsilanti, MI 48197 Phone: 734-712-8350 Fax: 734-712-8351 | |
Dr. Eva Bieniek, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5301 E Huron River Dr, Ypsilanti, MI 48197 Phone: 734-712-3456 Fax: 734-712-3456 | |
Paul Lee, Radiology Medicare: Accepting Medicare Assignments Practice Location: 5333 Mcauley Dr, Suite 6016, Ypsilanti, MI 48197 Phone: 734-712-8350 |