| Juan Sebastian Preciado-riestra, MD | |
|
400 S Townline Rd, Wautoma, WI 54982-6922 | |
| (920) 787-4737 | |
| Not Available |
| Full Name | Juan Sebastian Preciado-riestra |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 400 S Townline Rd, Wautoma, 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 |
|---|---|---|---|
| 1295739225 | NPI | - | NPPES |
| 521823 | Other | WI | MEDICARE PART A - CLINIC |
| 34313600 | Medicaid | WI | |
| 46438 | Other | WI | WI STATE LIC |
| 521824 | Other | WI | MEDICARE A MOBIL UNIT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 46438-020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
| River Falls Area Hospital | River falls, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Clinics | 7113830142 | 736 |
| Entity Name | Indianhead Medical Center Shell Lake, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053859058 PECOS PAC ID: 6406748839 Enrollment ID: O20170331000695 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811550155 PECOS PAC ID: 7113830142 Enrollment ID: O20210129001835 |
| Entity Name | Indianhead Medical Center Shell Lake, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1568438125 PECOS PAC ID: 6406748839 Enrollment ID: O20210819002133 |
| Mailing Address | Practice Location Address |
|---|---|
| Juan Sebastian Preciado-riestra, MD 933 Buffalo Ridge Ln, Waupaca, WI 54981-8192 Ph: (715) 252-2899 | Juan Sebastian Preciado-riestra, MD 400 S Townline Rd, Wautoma, WI 54982-6922 Ph: (920) 787-4737 |
Dr. William Russell Pinkonsly, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: N2934 Highway 22, Wautoma, WI 54982 Phone: 920-787-4613 | |
Dr. Gregrey G Hiltgen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 E Division St, Wautoma, WI 54982 Phone: 920-787-6900 | |
David N Crowther, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 E Division St, Wautoma, WI 54982 Phone: 920-787-6900 | |
Dr. Fozia Sarwar Alvi, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 E Division St, Wautoma, WI 54982 Phone: 920-787-6900 | |
Dr. Thomas G Chulski, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 900 E Division St, Wautoma, WI 54982 Phone: 920-787-6900 Fax: 920-787-6903 | |
Renee Murphy, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: N2934 Hwy 22 North, Wautoma, WI 54982 Phone: 920-787-4613 Fax: 920-787-5433 |