Connor J Medbery, MD | |
855 N Westhaven Dr, Oshkosh, WI 54904-7668 | |
(920) 303-8700 | |
Not Available |
Full Name | Connor J Medbery |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 855 N Westhaven Dr, Oshkosh, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770164675 | NPI | - | NPPES |
100279439 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 83962 (Wisconsin) | Secondary |
207P00000X | Emergency Medicine | 036166651 (Illinois) | Primary |
Entity Name | Cepamerica Illinois Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
Entity Name | Osf Multi-specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
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Connor J Medbery, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Connor J Medbery, MD 855 N Westhaven Dr, Oshkosh, WI 54904-7668 Ph: (920) 303-8700 |
John M Rosebush Jr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-456-7400 Fax: 920-456-7421 | |
Dr. Erich R Weidenbener, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 | |
Kevin L Polglaze, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-490-9046 | |
Hannah Johnshoy, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 | |
Trevor C Fenrich, EMT-B Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 621 Evans St, Oshkosh, WI 54901 Phone: 920-233-0888 | |
Jayzon P Martonito, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 | |
Daniel Gale, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-456-7400 Fax: 920-456-7421 |