Diane M Mayland, MD | |
2845 Greenbrier Rd Ste 220, Green Bay, WI 54311-6519 | |
(920) 288-8230 | |
(920) 288-8235 |
Full Name | Diane M Mayland |
---|---|
Gender | Female |
Speciality | Otolaryngology |
Location | 2845 Greenbrier Rd Ste 220, Green Bay, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083650907 | NPI | - | NPPES |
040017579 | Other | WI | RAILROAD |
104541671 | Medicaid | MI | |
31777000 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 28780 (Wisconsin) | Primary |
Entity Name | Baycare Clinic Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087 |
Mailing Address | Practice Location Address |
---|---|
Diane M Mayland, MD 2845 Greenbrier Rd Ste 220, Po Box 8900, Green Bay, WI 54308-8900 Ph: (920) 288-8230 | Diane M Mayland, MD 2845 Greenbrier Rd Ste 220, Green Bay, WI 54311-6519 Ph: (920) 288-8230 |
Dr. Andrew John Vanbruggen, DO Otolaryngology Medicare: Medicare Enrolled Practice Location: 2654 S Oneida St Stop 102, Green Bay, WI 54304 Phone: 888-938-3838 Fax: 888-919-1083 | |
Dr. Frederic W Schmidt, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 923 Eliza St, Green Bay, WI 54301 Phone: 920-965-4800 Fax: 920-431-7024 | |
Justin D Miller, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 923 Eliza St, Green Bay, WI 54301 Phone: 920-965-4800 Fax: 920-965-4801 | |
Dr. Alex Barr, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1860 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 | |
Dr. Jon Austin Slezak, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8230 | |
Dr. Jennifer B Lynch, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 923 Eliza St, Green Bay, WI 54301 Phone: 920-445-7226 Fax: 920-445-7229 |