Casandra Lynn Zummallen, MD | |
130 2nd St, Neenah, WI 54956-2883 | |
(920) 969-7900 | |
(920) 969-7979 |
Full Name | Casandra Lynn Zummallen |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 130 2nd St, Neenah, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356737209 | NPI | - | NPPES |
1356737209 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 64452-20 (Wisconsin) | Primary |
Entity Name | Thedacare, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Mailing Address | Practice Location Address |
---|---|
Casandra Lynn Zummallen, MD 130 2nd St, Neenah, WI 54956-2883 Ph: (920) 969-7900 | Casandra Lynn Zummallen, MD 130 2nd St, Neenah, WI 54956-2883 Ph: (920) 969-7900 |
Jennifer E Szmanda, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 640 Deerwood Ave, Neenah, WI 54956 Phone: 920-727-9982 Fax: 920-727-9983 | |
William J Kasper, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 740 Deerwood Ave, Neenah, WI 54956 Phone: 920-751-9600 | |
Dr. Abraham Joseph Liebeskind, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 130 2nd St, Neonatology, Neenah, WI 54956 Phone: 920-969-7990 Fax: 920-722-4224 | |
Patricia H Kasper, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 740 Deerwood Ave, Neenah, WI 54956 Phone: 920-751-9600 | |
Jessica Mcdonald, DNP, NNP-BC, APNP Pediatrics Medicare: Medicare Enrolled Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-969-7990 | |
Kevin E. Gentile, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 740 Deerwood Ave, Neenah, WI 54956 Phone: 920-751-9600 Fax: 920-751-9667 | |
Kelly M Meyer, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 740 Deerwood Ave, Neenah, WI 54956 Phone: 920-751-9600 |