Dr Jack A Tisinai, DO | |
855 N Westhaven Dr, Oshkosh, WI 54904-7668 | |
(920) 456-6000 | |
(920) 456-7401 |
Full Name | Dr Jack A Tisinai |
---|---|
Gender | Male |
Speciality | Family 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 |
---|---|---|---|
1285742072 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 22941 (Wisconsin) | Primary |
207Q00000X | Family Medicine | 036-065951 (Illinois) | Secondary |
Entity Name | Beaver Dam Community Hospitals Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972188555 PECOS PAC ID: 2567370539 Enrollment ID: O20040210000666 |
Mailing Address | Practice Location Address |
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Dr Jack A Tisinai, DO 855 N Westhaven Dr, Oshkosh, WI 54904-7668 Ph: (920) 456-6000 | Dr Jack A Tisinai, DO 855 N Westhaven Dr, Oshkosh, WI 54904-7668 Ph: (920) 456-6000 |
Eric A Smiltneek, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 414 Doctors Ct, Oshkosh, WI 54901 Phone: 920-303-5100 | |
Alexey Shereshevsky, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 N. Westhaven Drive, Thedacare Physicians Oshkosh, Oshkosh, WI 54904 Phone: 920-237-5000 Fax: 920-237-5001 | |
Michael Menard, Family Medicine Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 | |
Harold W Boccheciamp, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2725 Jackson St, Oshkosh, WI 54901 Phone: 920-223-7500 | |
James W Smrecek, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1855 S Koeller St, Oshkosh, WI 54902 Phone: 920-223-7300 | |
Dr. Scott J Beougher, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5165 Chesapeake Ct, Oshkosh, WI 54901 Phone: 920-303-2254 | |
Karl C Larson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2725 Jackson St, Oshkosh, WI 54901 Phone: 920-223-7500 Fax: 920-223-7630 |