| Mr Brian T Stubitsch, MD | |
|
2817 New Pinery Rd, Divine Savior Healthcare Inc, Portage, WI 53901-9257 | |
| (608) 742-4131 | |
| (608) 742-6098 |
| Full Name | Mr Brian T Stubitsch |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 29 Years |
| Location | 2817 New Pinery Rd, Portage, 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 |
|---|---|---|---|
| 1528041753 | NPI | - | NPPES |
| 34146600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 43813 020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ripon Medical Center | Ripon, WI | Hospital |
| Aspirus Riverview Hospital & Clinics Inc | Wisconsin rapids, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Agnesian Healthcare Inc | 1658289624 | 360 |
| Aspirus Riverview Hospital And Clinics Inc | 4587658182 | 149 |
| Entity Name | Agnesian Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
| Entity Name | Memorial Hospital Of Boscobel |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760459846 PECOS PAC ID: 8325957673 Enrollment ID: O20040115000725 |
| Entity Name | Aspirus Riverview Hospital & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295754844 PECOS PAC ID: 4587658182 Enrollment ID: O20040414000945 |
| Entity Name | Vernon Memorial Healthcare Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1497750921 PECOS PAC ID: 8325958416 Enrollment ID: O20101117000959 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brian T Stubitsch, MD Po Box 387, Divine Savior Healthcare Inc, Portage, WI 53901-0387 Ph: (608) 742-4131 | Mr Brian T Stubitsch, MD 2817 New Pinery Rd, Divine Savior Healthcare Inc, Portage, WI 53901-9257 Ph: (608) 742-4131 |
Terra Thimm, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 | |
Michael C Walters, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-745-5689 Fax: 608-742-6098 | |
James T Gariti Sr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2817 New Pinery Rd, Divine Savior Healthcare Inc, Portage, WI 53901 Phone: 608-742-4131 Fax: 608-742-6098 | |
Gregory S Keeling, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2817 New Pinery Rd, Divine Savior Healthcare Inc, Portage, WI 53901 Phone: 608-742-4131 Fax: 608-745-5173 | |
Hythem Abad, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 | |
Charles L Boursier, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2817 New Pinery Rd., Divine Savior Healthcare Inc, Portage, WI 53901 Phone: 608-742-4131 Fax: 608-745-5173 |