| Dr James L Basiliere, MD | |
|
1300 South Dr., Winnebago Mental Health Institute, Winnebago, WI 54985-0009 | |
| (920) 235-4910 | |
| (920) 236-2931 |
| Full Name | Dr James L Basiliere |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1300 South Dr., Winnebago, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376603985 | NPI | - | NPPES |
| 31240600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 14738 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James L Basiliere, MD 1300 South Dr., Winnebago Mental Health Institute, Winnebago, WI 54985-0009 Ph: (920) 235-4910 | Dr James L Basiliere, MD 1300 South Dr., Winnebago Mental Health Institute, Winnebago, WI 54985-0009 Ph: (920) 235-4910 |
C Harold Mork, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1300 South Dr., Winnebago, WI 54985 Phone: 920-235-4910 Fax: 920-236-2931 | |
Alejandro A Eisma, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 South Drive, Winnebago Mental Health Institute, Winnebago, WI 54985 Phone: 920-235-4910 Fax: 920-236-2931 | |
Dr. Nikolo C Quinones, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1300 South Drive, Winnebago, WI 54985 Phone: 920-235-4910 Fax: 920-237-2043 |