| Mohammed Dodwad, MD | |
|
900 College Ave W, Ladysmith, WI 54848-2116 | |
| (715) 532-5561 | |
| (715) 532-9809 |
| Full Name | Mohammed Dodwad |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 50 Years |
| Location | 900 College Ave W, Ladysmith, 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 |
|---|---|---|---|
| 1669407649 | NPI | - | NPPES |
| 33310900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 36597 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thomas H Boyd Memorial Hospital | Carrollton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thomas H Boyd Memorial Hospital | 8123085560 | 22 |
| Entity Name | Thomas H Boyd Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811096811 PECOS PAC ID: 8123085560 Enrollment ID: O20041216000800 |
| Entity Name | Thomas H Boyd Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1811096811 PECOS PAC ID: 8123085560 Enrollment ID: O20110118000703 |
| Entity Name | Thomas H Boyd Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1699973685 PECOS PAC ID: 8123085560 Enrollment ID: O20110118000988 |
| Entity Name | Integritas Emergency Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammed Dodwad, MD 5753 Dawley Dr, Fitchburg, WI 53711-7221 Ph: (608) 276-9868 | Mohammed Dodwad, MD 900 College Ave W, Ladysmith, WI 54848-2116 Ph: (715) 532-5561 |
Andrey Mironenko, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 Port Arthur Rd, Ladysmith, WI 54848 Phone: 715-532-2300 | |
Allen S. Hanson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 906 College Ave W, Ladysmith, WI 54848 Phone: 715-532-2300 | |
Kristin E Verville, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 College Ave W, Ladysmith, WI 54848 Phone: 715-532-2300 | |
Inimfon Udoh, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Port Arthur Rd, Ladysmith, WI 54848 Phone: 715-532-5561 | |
Dr. R Timothy Fitzner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 College Ave W, Ladysmith, WI 54848 Phone: 715-532-5561 Fax: 715-532-9809 |