| Michael A Donnelly, DO FACOS | |
|
1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842 | |
| (608) 364-2200 | |
| (608) 364-2705 |
| Full Name | Michael A Donnelly |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 40 Years |
| Location | 1905 E. Huebbe Parkway, Beloit, 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 |
|---|---|---|---|
| 1831107671 | NPI | - | NPPES |
| 10631 | Other | DEAN HEALTH PLAN HMO | |
| 1831107671 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 33488021 (Wisconsin) | Primary |
| 208800000X | Urology | 036-075916 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beloit Health System | Beloit, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beloit Health System Inc | 8224947858 | 130 |
| Beloit Health System Inc | 8224947858 | 130 |
| Entity Name | Beloit Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679616361 PECOS PAC ID: 8224947858 Enrollment ID: O20031215000424 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A Donnelly, DO FACOS 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842 Ph: (608) 364-2200 | Michael A Donnelly, DO FACOS 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511-1842 Ph: (608) 364-2200 |
Kevin M Tomera, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1905 E. Huebbe Parkway, Beloit Clinic, Beloit, WI 53511 Phone: 608-364-2470 Fax: 608-363-7378 | |
Larry M Ojeda, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511 Phone: 608-364-2200 Fax: 608-364-2705 |