Dr Mark T Rovick, DO | |
444 N Westhill Blvd, Appleton, WI 54914-5715 | |
(920) 750-7000 | |
(920) 364-2451 |
Full Name | Dr Mark T Rovick |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 444 N Westhill Blvd, Appleton, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003866864 | NPI | - | NPPES |
1003866864 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 52152-21 (Wisconsin) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 44254 (Minnesota) | Secondary |
Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark T Rovick, DO 444 N Westhill Blvd, Appleton, WI 54914-5715 Ph: (920) 750-7000 | Dr Mark T Rovick, DO 444 N Westhill Blvd, Appleton, WI 54914-5715 Ph: (920) 750-7000 |
Dr. Brian Michael Demuri, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 10 Tri Park Way, Appleton, WI 54914 Phone: 920-831-7908 | |
Dr. Padma Reddi, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 10 Tri Parkway, Appleton, WI 54914 Phone: 920-831-7908 | |
David L Sovine, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1531 S Madison St, Appleton, WI 54915 Phone: 920-730-4411 | |
Michael J Panzer, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1531 S Madison Street, #550, Appleton, WI 54915 Phone: 920-738-2700 Fax: 920-738-8051 | |
John D Robinson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1708 South Weimar Street, Appleton, WI 54915 Phone: 920-364-0079 | |
Dr. Gbolahan Damilola Oyinloye, M.D., MHS Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2500 E Capitol Dr, Appleton, WI 54911 Phone: 920-720-2300 Fax: 920-720-3719 |