| Keyvan Gharabeighlou, DO | |
|
2500 E Enterprise Ave, Unit C, Appleton, WI 54913 | |
| (920) 739-5642 | |
| (920) 968-0259 |
| Full Name | Keyvan Gharabeighlou |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 28 Years |
| Location | 2500 E Enterprise Ave, Appleton, 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 |
|---|---|---|---|
| 1376588202 | NPI | - | NPPES |
| 43506200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 45650 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
| Berlin Memorial Hospital | Berlin, WI | Hospital |
| Thedacare Medical Center - Shawano | Shawano, WI | Hospital |
| Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
| Thedacare Medical Center - Wild Rose | Wild rose, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Associates Of Appleton Sc | 6002851862 | 29 |
| Entity Name | Radiology Associates Of Appleton Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407941909 PECOS PAC ID: 6002851862 Enrollment ID: O20050622000606 |
| Entity Name | Premier Radiology Wisconsin Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952951154 PECOS PAC ID: 9537595533 Enrollment ID: O20200211002818 |
| Mailing Address | Practice Location Address |
|---|---|
| Keyvan Gharabeighlou, DO 2500 E Enterprise Ave, Unit C, Appleton, WI 54913-4860 Ph: (920) 739-5642 | Keyvan Gharabeighlou, DO 2500 E Enterprise Ave, Unit C, Appleton, WI 54913 Ph: (920) 739-5642 |
Stephanus J Macrander, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2500 E Enterprise Ave, Unit C, Appleton, WI 54913 Phone: 920-739-5642 Fax: 920-968-0259 | |
Sara Elizabeth Beltran Ponce, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1506 S Oneida St, Appleton, WI 54915 Phone: 920-831-8900 Fax: 920-831-1320 | |
Maher Salahi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 E Capitol Dr, Appleton, WI 54911 Phone: 920-739-5642 | |
Kristin Knott, Radiology Medicare: Not Enrolled in Medicare Practice Location: 5471 W Waterford Ln, Appleton, WI 54913 Phone: 920-731-7445 | |
Anna Moreland, Radiology Medicare: Accepting Medicare Assignments Practice Location: 424 E Pacific St, Appleton, WI 54911 Phone: 920-475-1201 | |
Stephen M. Bejvan, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2500 E Enterprise Ave, Unit C, Appleton, WI 54913 Phone: 920-739-5642 Fax: 920-968-0259 |