| Dr Stephen Goth, MD | |
|
W231n1440 Corporate Ct, Waukesha, WI 53186-1503 | |
| (262) 896-6000 | |
| Not Available |
| Full Name | Dr Stephen Goth |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 14 Years |
| Location | W231n1440 Corporate Ct, Waukesha, 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 |
|---|---|---|---|
| 1285999334 | NPI | - | NPPES |
| 1285999334 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036-149255 (Illinois) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 61631 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl Ctr | Ottawa, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Osf St Francis Hospital And Medical Group | Escanaba, MI | Hospital |
| Osf Saint Paul Medical Center | Mendota, IL | Hospital |
| St Joseph Medical Center | Bloomington, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Illinois Radiological Associates Ltd | 9436061827 | 200 |
| Cira Michigan Pc | 7113355264 | 88 |
| Osf Multi-specialty Group | 3678889789 | 2110 |
| Entity Name | Central Illinois Radiological Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538192828 PECOS PAC ID: 9436061827 Enrollment ID: O20031104000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen Goth, MD Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Dr Stephen Goth, MD W231n1440 Corporate Ct, Waukesha, WI 53186-1503 Ph: (262) 896-6000 |
Dr. Marc A Burrell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: W231n1440 Corporate Ct, Waukesha, WI 53186 Phone: 262-896-6000 | |
Dr. David Joseph Czarnecki, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-2400 Fax: 262-928-7621 | |
Dr. Gregory Allen Kass, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-2400 Fax: 262-928-7621 | |
Dr. David Morgan Roelke, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-2400 Fax: 262-928-7621 | |
Dr. Jennifer T Bergin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-2400 | |
Dr. David Orlin Yenerich, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 725 American Ave, Waukesha, WI 53188 Phone: 262-928-2400 Fax: 262-928-7621 | |
Bambi R Weyers, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: N16w24131 Riverwood Drive, Waukesha, WI 53188 Phone: 262-696-0696 Fax: 262-696-0683 |