Jose Andres Moreno Lopez, MD | |
700 S Park St, Madison, WI 53715-1830 | |
(608) 251-6100 | |
(608) 260-2976 |
Full Name | Jose Andres Moreno Lopez |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 16 Years |
Location | 700 S Park St, Madison, 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 |
---|---|---|---|
1043545833 | NPI | - | NPPES |
1043545833 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | TRN15501 (Florida) | Secondary |
2086S0127X | Surgery - Trauma Surgery | 60049-20 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital | Iowa city, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Services Iowa City Inc | 2860395688 | 27 |
Entity Name | Mercy Services Iowa City Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740213206 PECOS PAC ID: 2860395688 Enrollment ID: O20040129000617 |
Mailing Address | Practice Location Address |
---|---|
Jose Andres Moreno Lopez, MD 700 S Park St, Madison, WI 53715-1830 Ph: (715) 387-1713 | Jose Andres Moreno Lopez, MD 700 S Park St, Madison, WI 53715-1830 Ph: (608) 251-6100 |
Haggi Mazeh, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-265-8072 Fax: 608-265-9695 | |
Dr. Ekaterina Fedorova, MD Surgery Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-1384 | |
Ruben Ngnitwew Massa A, MD Surgery Medicare: Medicare Enrolled Practice Location: 4221 Owl Creek Dr, Madison, WI 53718 Phone: 913-980-3405 | |
Bruce A Harms, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-7502 Fax: 608-265-5530 | |
Dr. Clara Emilia Angeles, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-890-0554 | |
Michael J Garren, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 South Park St, Madison, WI 53715 Phone: 608-287-2100 Fax: 608-287-2324 | |
David M Melnick, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 S Park St, Madison, WI 53715 Phone: 608-287-2100 Fax: 608-287-2324 |