| Joseph Longo, DO | |
|
1080 W Fond Du Lac St., Chn Medical Center - Ripon, Ripon, WI 54971 | |
| (920) 748-7000 | |
| (920) 748-7236 |
| Full Name | Joseph Longo |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 1080 W Fond Du Lac St., Ripon, 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 |
|---|---|---|---|
| 1023057320 | NPI | - | NPPES |
| 1023057320 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 52559-21 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension At Home | Neenah, WI | Home health agency |
| Generations Hospice | Fond du lac, WI | Hospice |
| St Agnes Hsptl Hospice Hope | Fond du lac, WI | Hospice |
| Thedacare At Home | Appleton, WI | Hospice |
| Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
| Berlin Memorial Hospital | Berlin, WI | Hospital |
| Ripon Medical Center | Ripon, WI | Hospital |
| Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
| Whispering Pines Nursing And Rehab, Llc | Ripon, WI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thedacare Incorporated | 1759294887 | 533 |
| 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 | Thedacare Medical Center - Berlin, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760413777 PECOS PAC ID: 0446151666 Enrollment ID: O20040120000214 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Longo, DO 1080 W Fond Du Lac St., Chn Medical Center - Ripon, Ripon, WI 54971 Ph: (920) 748-7000 | Joseph Longo, DO 1080 W Fond Du Lac St., Chn Medical Center - Ripon, Ripon, WI 54971 Ph: (920) 748-7000 |
Dr. David Alexis Calderwood, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 845 Parkside St, Ripon, WI 54971 Phone: 920-748-3101 Fax: 920-745-7923 | |
Danielle M Covach, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 835 Parkside St, Ripon, WI 54971 Phone: 920-745-3520 Fax: 920-745-3520 | |
David F Brown, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 635 W Oshkosh St, Ripon, WI 54971 Phone: 920-745-6900 | |
Robert H House, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 635 W Oshkosh St, Ripon, WI 54971 Phone: 920-745-6900 | |
Cheryl J Iverson, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1080 W Fond Du Lac St, Ripon, WI 54971 Phone: 920-748-7000 Fax: 920-748-7236 | |
Jason E Geiger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 845 Parkside St, Ripon, WI 54971 Phone: 920-748-3101 Fax: 920-926-4875 |