| Willett Pang, MD | |
|
3050 Montvale Dr Ste A, Springfield, IL 62704-6924 | |
| (217) 726-8096 | |
| Not Available |
| Full Name | Willett Pang |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 39 Years |
| Location | 3050 Montvale Dr Ste A, Springfield, Illinois |
| 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 |
|---|---|---|---|
| 1407813637 | NPI | - | NPPES |
| 31753300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 32680 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Medical Center | Ashland, WI | Hospital |
| Hayward Area Memorial Hospital | Hayward, WI | Hospital |
| St Marys Hospital Superior | Superior, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Duluth Clinic Ltd | 2567374283 | 957 |
| Prairie Du Chien Memorial Hospital Association Inc | 4981698537 | 29 |
| St Marys Hospital Of Superior | 8628964228 | 75 |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245278209 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000120 |
| Entity Name | St Marys Hospital Of Superior |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083657886 PECOS PAC ID: 8628964228 Enrollment ID: O20040309000070 |
| Entity Name | Prairie Du Chien Memorial Hospital Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619024197 PECOS PAC ID: 4981698537 Enrollment ID: O20040414001308 |
| Mailing Address | Practice Location Address |
|---|---|
| Willett Pang, MD 2040 W Iles Ave Ste C, Springfield, IL 62704-4183 Ph: (217) 789-0668 | Willett Pang, MD 3050 Montvale Dr Ste A, Springfield, IL 62704-6924 Ph: (217) 726-8096 |
Dr. Christopher John Norbet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096 | |
Sandra Scroggins, MD Radiology Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-814-5178 Fax: 217-757-6458 | |
Dr. Terence Edward Wade, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 | |
Benjamin Walker Fischer-valuck, MD Radiology Medicare: Medicare Enrolled Practice Location: 701 N 1st St., Springfield, IL 62781 Phone: 217-528-7541 | |
Kevin Coakley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096 | |
Ronald Hidalgo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr, Ste A, Springfield, IL 62704 Phone: 720-848-0000 Fax: 720-848-0000 | |
Dr. Benjamin Daniel Long, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 |