| Emmanuel Olusegun Odeyemi, MD | |
|
3400 Ministry Pkwy, Weston, WI 54476-5220 | |
| (715) 393-3000 | |
| Not Available |
| Full Name | Emmanuel Olusegun Odeyemi |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | 3400 Ministry Pkwy, Weston, 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 |
|---|---|---|---|
| 1346566460 | NPI | - | NPPES |
| 54067 | Other | WI | WI STATE LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 54067 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aspirus Wausau Hospital | Wausau, WI | Hospital |
| Divine Savior Healthcare | Portage, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Divine Savior Healthcare Inc | 5799684007 | 94 |
| Aspirus Wausau Hospital Inc | 6406757442 | 177 |
| 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 | Aspirus Rhinelander & Tomahawk Hospitals & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144991340 PECOS PAC ID: 9335059856 Enrollment ID: O20031126000706 |
| Entity Name | Aspirus Wausau Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922321140 PECOS PAC ID: 6406757442 Enrollment ID: O20040114000297 |
| Entity Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
| Entity Name | Divine Savior Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
| Entity Name | Howard Young Medical Center Inc Of Woodruff Wisconsin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184673352 PECOS PAC ID: 4183519606 Enrollment ID: O20040419000970 |
| Entity Name | St Clare Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851477913 PECOS PAC ID: 0446211395 Enrollment ID: O20041023000037 |
| Entity Name | Aspirus Stevens Point Hospital & Clinics, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538112230 PECOS PAC ID: 1850358938 Enrollment ID: O20041210000558 |
| Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Emmanuel Olusegun Odeyemi, MD 3400 Ministry Pkwy, Weston, WI 54476-5220 Ph: (715) 393-3000 | Emmanuel Olusegun Odeyemi, MD 3400 Ministry Pkwy, Weston, WI 54476-5220 Ph: (715) 393-3000 |
Dr. Kshamata Shalini, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Ministry Pkwy, Weston, WI 54476 Phone: 715-393-3000 | |
Matthew Hall, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3301 Cranberry Blvd, Weston, WI 54476 Phone: 715-393-3900 | |
Winfred M Kiamah, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3400 Ministry Pkwy, Weston, WI 54476 Phone: 715-393-1000 Fax: 715-393-1000 | |
J F Herbert R Macalalad, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3501 Cranberry Blvd, Weston, WI 54476 Phone: 715-393-1000 | |
Dr. Sanjay Kumar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 Cranberry Blvd, Weston, WI 54476 Phone: 715-393-1000 | |
David A Polomis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3301 Cranberry Blvd, Weston, WI 54476 Phone: 715-393-3900 | |
Dr. Udaya Shreesha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Ministry Pkwy, Weston, WI 54476 Phone: 715-393-3000 |