| Thomas J Lisk, MD | |
|
1969 W Hart Rd, Beloit, WI 53511 | |
| (608) 364-5269 | |
| Not Available |
| Full Name | Thomas J Lisk |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 46 Years |
| Location | 1969 W Hart Rd, Beloit, 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 |
|---|---|---|---|
| 1376563023 | NPI | - | NPPES |
| 300034073 | Other | WI | RAILROAD MEDICARE |
| 31481100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 29988020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beloit Health System | Beloit, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beloit Radiology Ltd | 3274559711 | 41 |
| 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 | Beloit Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386661734 PECOS PAC ID: 3274559711 Enrollment ID: O20051024000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J Lisk, MD 340 Midland Rd Ste 120, Janesville, WI 53546-2339 Ph: (086) 743-9313 | Thomas J Lisk, MD 1969 W Hart Rd, Beloit, WI 53511 Ph: (608) 364-5269 |
Miguel A Jimenez, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-364-5269 | |
Dr. John Works Boardman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1110 Chapin St, Beloit, WI 53511 Phone: 608-362-2343 | |
Dr. Eric P. Xanthopoulos, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Beloit Health System Uw Cancer Center, 1670 Lee Lane, Beloit, WI 53511 Phone: 608-364-5253 Fax: 608-364-5252 | |
George Cherian, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-364-5269 | |
Dr. Eric J Goth, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-362-7888 Fax: 608-362-8470 | |
Philip Budihardjo, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-362-7888 |