| Ms Cynthia A Pangallo, MD | |
|
888 Thackeray Trl Ste 103, Oconomowoc, WI 53066-4342 | |
| (262) 567-1499 | |
| (262) 567-4502 |
| Full Name | Ms Cynthia A Pangallo |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 40 Years |
| Location | 888 Thackeray Trl Ste 103, Oconomowoc, 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 |
|---|---|---|---|
| 1710946132 | NPI | - | NPPES |
| 317237300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 32603 (Wisconsin) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 32603 (Wisconsin) | Secondary |
| 208600000X | Surgery | 32603 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Waukesha Memorial Hospital | Waukesha, WI | Hospital |
| Fort Memorial Hospital | Fort atkinson, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fort Healthcare Inc | 0840189718 | 124 |
| Prohealth Medical Group Inc | 3476465188 | 443 |
| Divine Savior Healthcare Inc | 5799684007 | 94 |
| Entity Name | Prohealth Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
| Entity Name | Aspirus Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669595294 PECOS PAC ID: 1052223625 Enrollment ID: O20031103000267 |
| Entity Name | Aspirus Rhinelander & Tomahawk Hospitals & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144991340 PECOS PAC ID: 9335059856 Enrollment ID: O20031126000706 |
| Entity Name | Divine Savior Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
| 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 | 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 | Howard Young Medical Center Inc Of Woodruff Wisconsin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184673352 PECOS PAC ID: 4183519606 Enrollment ID: O20040419000970 |
| Entity Name | Aspirus Stevens Point Hospital & Clinics, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538112230 PECOS PAC ID: 1850358938 Enrollment ID: O20041210000558 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Cynthia A Pangallo, MD 888 Thackeray Trl Ste 103, Oconomowoc, WI 53066-4342 Ph: (262) 567-1499 | Ms Cynthia A Pangallo, MD 888 Thackeray Trl Ste 103, Oconomowoc, WI 53066-4342 Ph: (262) 567-1499 |
Ms. Emily E Stoddard, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 888 Thackeray Trl Ste 103, Oconomowoc, WI 53066 Phone: 262-567-1499 Fax: 262-567-4502 |