Dr Mary M Rajala, MD | |
225 S Executive Dr, Brookfield, WI 53005-4257 | |
(262) 787-4050 | |
(262) 782-6040 |
Full Name | Dr Mary M Rajala |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Location | 225 S Executive Dr, Brookfield, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326022526 | NPI | - | NPPES |
31996300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 35169-020 (Wisconsin) | Primary |
Entity Name | Winona Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295789352 PECOS PAC ID: 8527977420 Enrollment ID: O20040106000260 |
Mailing Address | Practice Location Address |
---|---|
Dr Mary M Rajala, MD 225 S Executive Dr, Brookfield, WI 53005-4257 Ph: (262) 787-4050 | Dr Mary M Rajala, MD 225 S Executive Dr, Brookfield, WI 53005-4257 Ph: (262) 787-4050 |
Dr. Richard W. Cherwenka, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 19333 W North Ave, Brookfield, WI 53045 Phone: 262-785-2000 | |
Dr. John Joseph Vondrell, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2025 Burnwood Ct, Brookfield, WI 53045 Phone: 262-786-8343 | |
Sergiy Larin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 19333 W North Ave, Brookfield, WI 53045 Phone: 304-293-1254 | |
Dr. John K Hur, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 19333 W North Ave, Brookfield, WI 53045 Phone: 262-785-2000 | |
Mehran Heydarpour, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 19475 W North Ave, Brookfield, WI 53045 Phone: 262-780-0770 | |
Dr. Gregory Alan Wolff, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 19333 W North Ave, Brookfield, WI 53045 Phone: 262-785-2000 |