| James J Greenberg, MD | |
|
N2950 State Road 67, Lake Geneva, WI 53147-2655 | |
| (262) 245-0535 | |
| Not Available |
| Full Name | James J Greenberg |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 35 Years |
| Location | N2950 State Road 67, Lake Geneva, 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 |
|---|---|---|---|
| 1164412136 | NPI | - | NPPES |
| 036087181 | Medicaid | IL | |
| GREENJAM | Other | WI | MERCYCARE INSURANCE |
| 01619787 | Other | BCBSIL GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036-087181 (Illinois) | Secondary |
| 208600000X | Surgery | 53948 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Walworth Hospital & Medical Center | Lake geneva, WI | Hospital |
| Mercy Harvard Hospital | Harvard, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health System Corporation | 7416860440 | 564 |
| Mercy Health System Corporation | 7416860440 | 564 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031111000307 |
| Mailing Address | Practice Location Address |
|---|---|
| James J Greenberg, MD N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-0535 | James J Greenberg, MD N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-0535 |
Dr. Juanilito N Seldera, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-4990 Fax: 262-245-2248 | |
Dr. Dmitry K Pasikhov, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 146 E Geneva Square, Lake Geneva, WI 53147 Phone: 262-249-5000 Fax: 262-249-7142 |