| Vishal M Patel, | |
|
1716 Lawrence Dr Ste 103, De Pere, WI 54115-9108 | |
| (920) 632-6800 | |
| (920) 632-6806 |
| Full Name | Vishal M Patel |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 13 Years |
| Location | 1716 Lawrence Dr Ste 103, De Pere, Wisconsin |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619313475 | NPI | - | NPPES |
| 100090937 | Medicaid | WI |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Medical Ctr Oshkosh | Oshkosh, WI | Hospital |
| Ascension Ne Wisconsin - St Elizabeth Campus | Appleton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alleviate Pain And Spine, Sc | 9436670916 | 8 |
| Vital Anesthesia Associates Sc | 0840771150 | 2 |
| Aurora Medical Group, Inc. | 6709794258 | 3764 |
| 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 | Alleviate Pain and Spine, SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962217521 PECOS PAC ID: 9436670916 Enrollment ID: O20250313001011 |
| Entity Name | Vital Anesthesia Associates SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578422275 PECOS PAC ID: 0840771150 Enrollment ID: O20260225001680 |
| Mailing Address | Practice Location Address |
|---|---|
| Vishal M Patel, 1716 Lawrence Dr Ste 103, De Pere, WI 54115-9108 Ph: (920) 632-6800 | Vishal M Patel, 1716 Lawrence Dr Ste 103, De Pere, WI 54115-9108 Ph: (920) 632-6800 |
Hind Mirza Gautam, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1881 Chicago St, De Pere, WI 54115 Phone: 920-403-8000 |
Dr. Mansoor Mohammad Aman, M.D. Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 1716 Lawrence Dr Ste 103, De Pere, WI 54115 Phone: 920-632-6800 Fax: 920-632-6806 |