| Dr Todd L Hostetler, MD | |
|
512 S 28th Ave, Wausau, WI 54401-4147 | |
| (715) 847-2021 | |
| (715) 847-2325 |
| Full Name | Dr Todd L Hostetler |
|---|---|
| Gender | Male |
| Speciality | Allergy/immunology |
| Experience | 22 Years |
| Location | 512 S 28th Ave, Wausau, 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 |
|---|---|---|---|
| 1619015088 | NPI | - | NPPES |
| 2755102 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 57120-20 (Wisconsin) | Secondary |
| 208000000X | Pediatrics | 57120-20 (Wisconsin) | Secondary |
| 207K00000X | Allergy & Immunology | 57120-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aspirus Medford Hospital & Clinics, Inc | Medford, WI | Hospital |
| Aspirus Wausau Hospital | Wausau, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ent And Allergy Associates Sc | 2062429608 | 23 |
| Entity Name | Ent & Allergy Associates Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255384301 PECOS PAC ID: 2062429608 Enrollment ID: O20060307000675 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Todd L Hostetler, MD 512 S 28th Ave, Wausau, WI 54401-4147 Ph: (715) 847-2021 | Dr Todd L Hostetler, MD 512 S 28th Ave, Wausau, WI 54401-4147 Ph: (715) 847-2021 |
Dr. David A Edmondson, DO Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 512 S 28th Ave, Wausau, WI 54401 Phone: 715-847-2021 Fax: 715-847-2325 | |
Mark A Huftel, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 2727 Plaza Drive, Wausau, WI 54401 Phone: 715-847-3397 |