| Thomas P Peller Md Sc | |
|
714 W Hamilton Ave Eau Claire WI 54701-6937 | |
| (715) 830-9990 | |
| (715) 830-9995 |
| Full Name | Thomas P Peller Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 714 W Hamilton Ave, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Thomas P Peller (DIRECTOR PRESIDENT) |
| Authorized Official Contact | 7158309990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas P Peller Md Sc 714 W Hamilton Ave Eau Claire WI 54701-6937 Ph: (715) 830-9990 | Thomas P Peller Md Sc 714 W Hamilton Ave Eau Claire WI 54701-6937 Ph: (715) 830-9990 |
| NPI Number | 1215008875 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 03/10/2009 |
| Medicare PECOS PAC ID | 9537174651 |
|---|---|
| Medicare Enrollment ID | O20060210000473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215008875 | NPI | - | NPPES |
| 32016000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 34997 (Wisconsin) | Primary |
| Provider Name | Thomas P Peller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497715726 PECOS PAC ID: 9830103746 Enrollment ID: I20060131000282 |
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