| Thanh Pham, MD | |
|
1836 South Ave, La Crosse, WI 54601-5429 | |
| (608) 782-7300 | |
| Not Available |
| Full Name | Thanh Pham |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 8 Years |
| Location | 1836 South Ave, La Crosse, 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 |
|---|---|---|---|
| 1992237770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 69441 (Minnesota) | Secondary |
| 207P00000X | Emergency Medicine | 75565 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gundersen Lutheran Medical Center | La crosse, WI | Hospital |
| Grand Itasca Clinic And Hospital | Grand rapids, MN | Hospital |
| University Medical Center-mesabi/ Mesaba Clinics | Hibbing, MN | Hospital |
| Gundersen Tri-county Hospital & Clinics | Whitehall, WI | Hospital |
| St Elizabeth Medical Center | Wabasha, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Elizabeths Hospital Of Wabasha Inc | 5092619387 | 82 |
| Range Regional Health Services | 8022920024 | 255 |
| Grand Itasca Clinic And Hospital | 8123939550 | 263 |
| Gundersen Lutheran Medical Center Inc | 2163331414 | 793 |
| Tri-county Memorial Hospital Inc | 4587642418 | 55 |
| Entity Name | Grand Itasca Clinic And Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209 |
| Entity Name | Range Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
| Entity Name | Saint Elizabeths Hospital Of Wabasha Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659355600 PECOS PAC ID: 5092619387 Enrollment ID: O20031119000811 |
| Entity Name | Sanford Health Of Northern Minnesota |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Thanh Pham, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Thanh Pham, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
Dr. Stanley John Dziaba, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Raymond D Pollock, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-392-7000 Fax: 608-392-7808 | |
Dr. Marvelene Julia Casner, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Clay Arthur Smith, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 605-787-8702 | |
Dr. Leah Rose Moellers Thompson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Taft Franklin, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Dr. Gabriel L Marsh, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |