| Gray Roberge, | |
|
3200 E Racine St, Janesville, WI 53546-2343 | |
| (608) 371-8000 | |
| (608) 371-8930 |
| Full Name | Gray Roberge |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 10 Years |
| Location | 3200 E Racine St, Janesville, 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 |
|---|---|---|---|
| 1528412533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 6177-851 (Wisconsin) | Secondary |
| 208800000X | Urology | MD2020-1074 (New Mexico) | Secondary |
| 208800000X | Urology | 68878-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Wi Hospitals & Clinics Authority | Madison, WI | Hospital |
| Unitypoint Health - Meriter | Madison, WI | Hospital |
| Southwest Health Center | Platteville, WI | Hospital |
| Reedsburg Area Medical Center | Reedsburg, WI | Hospital |
| Grant Regional Health Center | Lancaster, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Health Center Inc | 3072427772 | 110 |
| Entity Name | University of Wisconsin Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
| Mailing Address | Practice Location Address |
|---|---|
| Gray Roberge, 2016 Tower Dr, Stoughton, WI 53589-3546 Ph: Not Available | Gray Roberge, 3200 E Racine St, Janesville, WI 53546-2343 Ph: (608) 371-8000 |
Dr. Hariharan Palayapalayam Ganapathi, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6045 |
Dr. Francis F Kaveggia, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-741-6990 |
Mitchell A Kopnick, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8930 |