| Osman Ahmedtaha, MD | |
|
13250 Washington Ave, Mount Pleasant, WI 53177-1516 | |
| (262) 799-8700 | |
| Not Available |
| Full Name | Osman Ahmedtaha |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 17 Years |
| Location | 13250 Washington Ave, Mount Pleasant, 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 |
|---|---|---|---|
| 1598140105 | NPI | - | NPPES |
| 100201784 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 61923 (Connecticut) | Secondary |
| 208M00000X | Hospitalist | 82020 (Wisconsin) | Secondary |
| 207R00000X | Internal Medicine | 0101264262 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Walter Reed Hospital | Gloucester, VA | Hospital |
| Aspirus Wausau Hospital | Wausau, WI | Hospital |
| Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
| Aspirus Riverview Hospital & Clinics Inc | Wisconsin rapids, WI | Hospital |
| Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3716 |
| Columbia St Marys Hospital Milwaukee Inc | 5890604722 | 318 |
| Baycare Aurora Llc | 0244130557 | 200 |
| Aspirus Wausau Hospital Inc | 6406757442 | 234 |
| Ascension Medical Group-southeast Wisconsin Inc | 8628980943 | 561 |
| Aspirus Riverview Hospital And Clinics Inc | 4587658182 | 165 |
| Riverside Physician Services Inc | 5092608448 | 796 |
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| Entity Name | Columbia St Marys Hospital Milwaukee Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
| Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Aspirus Wausau Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922321140 PECOS PAC ID: 6406757442 Enrollment ID: O20040114000297 |
| 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 | Baycare Aurora Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579 |
| Mailing Address | Practice Location Address |
|---|---|
| Osman Ahmedtaha, MD Po Box 1171, Annandale, VA 22003-9171 Ph: (646) 236-8068 | Osman Ahmedtaha, MD 13250 Washington Ave, Mount Pleasant, WI 53177-1516 Ph: (262) 799-8700 |
Michael Mullane, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-8340 | |
Carlos R Galvao-sobrinho, MD, PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3805b Spring St Ste 260, Mount Pleasant, WI 53405 Phone: 262-687-8340 Fax: 262-687-8365 | |
Dr. Ubaid Nawaz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave Ste 203, Mount Pleasant, WI 53406 Phone: 262-884-8340 | |
Vrushin Patel, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6611 Spring St, Mount Pleasant, WI 53406 Phone: 262-504-3100 | |
Moustafa Mohamed A Elziny, MBBCH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4011 Fax: 262-687-4280 | |
Diana L Turner, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4011 Fax: 262-687-4280 | |
Alexandra Beris, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4011 |