| Mrs Eileen Therese Reilly, MD | |
|
620 W Brown St, Waupun, WI 53963-1702 | |
| (920) 324-5581 | |
| Not Available |
| Full Name | Mrs Eileen Therese Reilly |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 8 Years |
| Location | 620 W Brown St, Waupun, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700865573 | NPI | - | NPPES |
| 1700865573 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 71981-20 (Wisconsin) | Secondary |
| 208M00000X | Hospitalist | A198590 (California) | Secondary |
| 208M00000X | Hospitalist | 71981-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Waupun Memorial Hospital | Waupun, WI | Hospital |
| Beloit Health System | Beloit, WI | Hospital |
| Ssm Health St Mary's Hospital - Janesville | Janesville, WI | Hospital |
| Ripon Medical Center | Ripon, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Agnesian Healthcare Inc | 1658289624 | 360 |
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Dean Health Systems Inc | 7012827983 | 1099 |
| Beloit Health System Inc | 8224947858 | 130 |
| 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 | The Monroe Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386720548 PECOS PAC ID: 3072425495 Enrollment ID: O20031104000392 |
| Entity Name | Dean Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
| 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 |
| Entity Name | Grant Regional Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255339867 PECOS PAC ID: 9638079445 Enrollment ID: O20040109000282 |
| Entity Name | Fort Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417993361 PECOS PAC ID: 0840189718 Enrollment ID: O20040319001411 |
| Entity Name | Grant Regional Health Center Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1255339867 PECOS PAC ID: 9638079445 Enrollment ID: O20160229002869 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Eileen Therese Reilly, MD Attn: Ssm Health Fond Du Lac Regional Clinic, 1808 W Beltline Hwy, Madison, WI 53713-2334 Ph: (920) 926-8343 | Mrs Eileen Therese Reilly, MD 620 W Brown St, Waupun, WI 53963-1702 Ph: (920) 324-5581 |
Dr. Jagdev R Bhatoya, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 620 W Brown St, Waupun, WI 53963 Phone: 920-926-8332 Fax: 920-926-8370 |