Dr Marshall John Bales, MD | |
1300 South Drive, Winnebago, WI 54985-0009 | |
(920) 235-4910 | |
(920) 237-2043 |
Full Name | Dr Marshall John Bales |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 39 Years |
Location | 1300 South Drive, Winnebago, Wisconsin |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467494211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084F0202X | Psychiatry & Neurology - Forensic Psychiatry | 31871 (Wisconsin) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 04-23919 (Kansas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
County Of Brown | 1355435900 | 13 |
County Of Outagamie | 7517930019 | 6 |
Entity Name | County Of Outagamie |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629138995 PECOS PAC ID: 7517930019 Enrollment ID: O20040813000471 |
Entity Name | County Of Brown |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942305065 PECOS PAC ID: 1355435900 Enrollment ID: O20100524000844 |
Mailing Address | Practice Location Address |
---|---|
Dr Marshall John Bales, MD 601 Houghteling St, Iron Mountain, MI 49801-6828 Ph: (906) 396-5075 | Dr Marshall John Bales, MD 1300 South Drive, Winnebago, WI 54985-0009 Ph: (920) 235-4910 |
Bruce E Weffenstette, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1300 South Dr., Winnebago, WI 54985 Phone: 920-235-4910 Fax: 920-236-2931 | |
Louis M Fulton, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 South Drive, Winnebago Mental Health Information, Winnebago, WI 54985 Phone: 920-235-4910 Fax: 920-235-2931 | |
Dr. Kimberly Sue Hoenecke, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 South Drive, Winnebago, WI 54985 Phone: 920-235-4910 | |
Dr. Alla Y Likhterev, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Winnebago Mental Health Institute 1300 South Drive, Winnebago, WI 54985 Phone: 920-235-4910 Fax: 920-236-2931 | |
Ather S Siddiqui, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1300 South Dr., Winnebago, WI 54985 Phone: 920-235-4910 Fax: 920-236-2931 | |
Dr. Alexander M Scharko, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1300 South Drive, Winnebago, WI 54985 Phone: 920-235-4910 Fax: 920-237-2053 |