Don L Custodio, MD | |
4100 State Highway 66, Stevens Point, WI 54482-8410 | |
(715) 343-7700 | |
Not Available |
Full Name | Don L Custodio |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 19 Years |
Location | 4100 State Highway 66, Stevens Point, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316152598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4301085609 (Michigan) | Secondary |
207P00000X | Emergency Medicine | 3088 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Canyon Vista Medical Center | Sierra vista, AZ | Hospital |
Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
Tucson Medical Center | Tucson, AZ | Hospital |
Aurora Medical Ctr Oshkosh | Oshkosh, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sound Physicians Emergency Medicine Of Arizona Inc | 5799066650 | 94 |
Methodist North Emergency Physicians, Pllc | 0941659247 | 39 |
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Sound Physicians Emergency Medicine Of Arizona Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700328663 PECOS PAC ID: 5799066650 Enrollment ID: O20170109000725 |
Mailing Address | Practice Location Address |
---|---|
Don L Custodio, MD 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511 | Don L Custodio, MD 4100 State Highway 66, Stevens Point, WI 54482-8410 Ph: (715) 343-7700 |
Dr. Christopher Bender, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4100 State Highway 66, Stevens Point, WI 54482 Phone: 715-343-7700 | |
Dr. John M Thompson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Vincent St, Stevens Point, WI 54481 Phone: 715-344-0701 | |
Randal F Wojciehoski, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4100 State Highway 66, Stevens Point, WI 54482 Phone: 715-343-7700 | |
Dr. Daniel Stephen Judd, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 Illinois Ave, Stevens Point, WI 54481 Phone: 715-346-5000 | |
Trina M Daniels, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Illinois Ave, Stevens Point, WI 54481 Phone: 715-346-5000 | |
Emmanuel K Lonsdorfer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 Illinois Ave, Stevens Point, WI 54481 Phone: 715-342-7633 Fax: 715-343-3206 |