Dana I Vasquez, MD | |
420 E Division St, Fond Du Lac, WI 54935-4560 | |
(920) 926-8420 | |
Not Available |
Full Name | Dana I Vasquez |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 420 E Division St, Fond Du Lac, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093798290 | NPI | - | NPPES |
32339500 | Medicaid | WI | |
110143300 | Other | WI | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 60822 (Arizona) | Primary |
207R00000X | Internal Medicine | 37135 (Wisconsin) | Secondary |
Entity Name | Alliance Medical Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740224054 PECOS PAC ID: 1557374931 Enrollment ID: O20060802000072 |
Mailing Address | Practice Location Address |
---|---|
Dana I Vasquez, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340 | Dana I Vasquez, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8420 |
Balvindar S Sareen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 315-637-7800 Fax: 315-637-7808 | |
Jay R Muller, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8420 Fax: 920-926-8913 | |
Adam P Karewicz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8420 | |
Punit Kumar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac Regional Clinic, Fond Du Lac, WI 54935 Phone: 920-926-8420 | |
Dr. Steven Gregory Meress, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 180 Knights Way, Fond Du Lac, WI 54935 Phone: 920-922-5433 Fax: 920-273-0480 | |
Dr. Crystal J Kleiber Balderrama, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8340 Fax: 414-805-6851 |