Dr Joseph M Militollo, MD is a
Surgery physician based in Beaver Dam, Wisconsin. Dr Joseph M Militollo is licensed to practice in Wisconsin (license number 17252) and his current practice location is 130 Warren St, Ste 218, Beaver Dam, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 887-0379.
NPI number for Dr Joseph M Militollo is 1679569867 and his current mailing address is 130 Warren St, Ste 218, Beaver Dam, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679569867.
Physician's Profile
Full Name | Dr Joseph M Militollo |
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Gender | Male |
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Speciality | Surgery |
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Location | 130 Warren St, Beaver Dam, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679569867
- Provider Enumeration Date: 09/22/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Joseph M Militollo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679569867 | NPI | - | NPPES |
31057600 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 17252 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Joseph M Militollo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Joseph M Militollo, MD 130 Warren St, Ste 218, Beaver Dam, WI 53916-3062 Ph: (920) 887-0379 | Dr Joseph M Militollo, MD 130 Warren St, Ste 218, Beaver Dam, WI 53916-3062 Ph: (920) 887-0379 |
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