| Robert W Haller, MD | |
|
2845 Greenbrier Rd, Green Bay, WI 54311-6519 | |
| (920) 288-4930 | |
| (920) 288-4941 |
| Full Name | Robert W Haller |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 33 Years |
| Location | 2845 Greenbrier Rd, Green Bay, 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 |
|---|---|---|---|
| 1952339814 | NPI | - | NPPES |
| 34217800 | Medicaid | WI | |
| 300129574 | Other | WI | RAILROAD |
| 104395500 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 44444-20 (Wisconsin) | Primary |
| 2085B0100X | Radiology - Body Imaging | 44444 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Vincent Hospital | Green bay, WI | Hospital |
| St Nicholas Hospital | Sheboygan, WI | Hospital |
| St Mary's Hospital Medical Center | Green bay, WI | Hospital |
| Hshs St Clare Memorial Hospital | Oconto falls, WI | Hospital |
| Aurora Sheboygan Memorial Medical Ctr | Sheboygan, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gbr Sheboygan Llc | 1951341064 | 22 |
| St Vincent Hospital-hospital Sisters-third Order Of St Francis | 5799694675 | 567 |
| Green Bay Radiology Sc | 7113908310 | 23 |
| St. Nicholas Hospital-sisters Of The Third Order Of St Francis | 8325931652 | 157 |
| Entity Name | Radiology Associates Of The Fox Valley Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477539443 PECOS PAC ID: 0446152748 Enrollment ID: O20040127000011 |
| Entity Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
| Entity Name | Green Bay Radiology Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447327986 PECOS PAC ID: 7113908310 Enrollment ID: O20040525000803 |
| Entity Name | Madison Radiologists S C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871573725 PECOS PAC ID: 1951209311 Enrollment ID: O20040715001034 |
| Entity Name | Gbr Sheboygan Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467529917 PECOS PAC ID: 1951341064 Enrollment ID: O20050509000490 |
| Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert W Haller, MD 2845 Greenbrier Rd, Po Box 8900, Green Bay, WI 54308-8900 Ph: (920) 288-4930 | Robert W Haller, MD 2845 Greenbrier Rd, Green Bay, WI 54311-6519 Ph: (920) 288-4930 |
Dr. Nami P Zarvan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2941 S Ridge Rd, Green Bay, WI 54304 Phone: 920-336-4096 Fax: 920-336-8093 | |
Sally Schlise, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-433-8184 | |
Dr. Jeremy Boone Mccue, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2941 S Ridge Rd, Green Bay, WI 54304 Phone: 920-336-4096 Fax: 920-336-8093 | |
William L Hingtgen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1789 Shawano, Green Bay, WI 54303 Phone: 920-499-1428 Fax: 920-499-5808 | |
Dr. James I Sladky, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2941 S Ridge Rd, Green Bay, WI 54304 Phone: 920-336-4096 Fax: 920-336-8093 | |
Patrick M Carrigan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1789 Shawano Ave, Green Bay, WI 54303 Phone: 920-499-1428 Fax: 920-499-5808 | |
Alison Jean Meyer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-496-4700 |