Dr Mary J Gentine, MD | |
1703 N Taylor Dr, Sheboygan, WI 53081-1933 | |
(920) 457-4438 | |
(920) 457-6748 |
Full Name | Dr Mary J Gentine |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 27 Years |
Location | 1703 N Taylor Dr, Sheboygan, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811945942 | NPI | - | NPPES |
33332800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 40128-020 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ascension At Home | Milwaukee, WI | Home health agency |
St Vincent Hsptl Home Health | Green bay, WI | Home health agency |
Holy Family Memorial | Manitowoc, WI | Hospital |
St Nicholas Hospital | Sheboygan, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Froedtert Manitowoc Medical Group, Llc | 2365836954 | 118 |
Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
Entity Name | Froedtert Manitowoc Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282 |
Mailing Address | Practice Location Address |
---|---|
Dr Mary J Gentine, MD 4425 N Port Washington Rd, Attn: Clinic Credentialing, Glendale, WI 53212-1082 Ph: (920) 457-4438 | Dr Mary J Gentine, MD 1703 N Taylor Dr, Sheboygan, WI 53081-1933 Ph: (920) 457-4438 |
Dr. Thomas Matthew Ambelang, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1145 | |
Connor Hayes Harmann, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 | |
Ajhani Kesavan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1411 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-496-4700 Fax: 603-228-7307 | |
Katie Gesch, D.O., M.S. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 3100 Superior Ave, Sheboygan, WI 53081 Phone: 920-496-4700 | |
Dr. James R Pawlak, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1703 N Taylor Dr, Sheboygan, WI 53081 Phone: 920-457-4438 Fax: 920-457-6748 | |
Jayapriya Palaniappan, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 | |
Bora You, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1483 |