| Haresh B Modi, MD | |
|
2720 Plaza Dr, Suite 2200, Wausau, WI 54401-4158 | |
| (715) 847-2311 | |
| Not Available |
| Full Name | Haresh B Modi |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 2720 Plaza Dr, Wausau, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780699660 | NPI | - | NPPES |
| 34811800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 48743 (Wisconsin) | Primary |
| 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 | Aspirus Medford Hospital & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285703173 PECOS PAC ID: 5799688602 Enrollment ID: O20040129000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Haresh B Modi, MD 3000 Westhill Dr, Suite 303, Wausau, WI 54401-3795 Ph: () - | Haresh B Modi, MD 2720 Plaza Dr, Suite 2200, Wausau, WI 54401-4158 Ph: (715) 847-2311 |
Kay B Sorenson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1810 N 2nd St, Wausau, WI 54403 Phone: 715-848-4884 Fax: 715-845-5385 | |
Joseph Francis Novak Iv Iv, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 2720 Plaza Dr Ste 2200, Wausau, WI 54401 Phone: 715-847-2311 | |
Dr. David L Mathias, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2727 Plaza Dr, Wausau, WI 54401 Phone: 715-847-3000 | |
Lori L Shepherd, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2727 Plaza Dr, Wausau, WI 54401 Phone: 715-847-3000 | |
Jason J Chan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2720 Plaza Dr Ste 2200, Wausau, WI 54401 Phone: 715-847-2311 Fax: 715-847-2312 | |
Mary Jo Wendling, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2720 Plaza Dr, Suite 2200, Wausau, WI 54401 Phone: 715-847-2311 | |
Rebecca Padilla, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2720 Plaza Dr Ste 2200, Wausau, WI 54401 Phone: 715-847-2311 |