Dr Maxine J Minto, MD | |
3365 S 103 Rd St, Suite 210, Greenfield, WI 53227-4108 | |
(414) 266-3339 | |
(414) 266-3735 |
Full Name | Dr Maxine J Minto |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 3365 S 103 Rd St, Suite 210, Greenfield, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235359407 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 69898 (Florida) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 69898 (Florida) | Primary |
Entity Name | Behavioral Health Management Services, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417052713 PECOS PAC ID: 1456262450 Enrollment ID: O20040115000480 |
Entity Name | Osceola Mental Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346287240 PECOS PAC ID: 2062313703 Enrollment ID: O20040116000075 |
Mailing Address | Practice Location Address |
---|---|
Dr Maxine J Minto, MD 10524 Moss Park Rd Ste 204-719, Orlando, FL 32832-5898 Ph: (814) 217-6656 | Dr Maxine J Minto, MD 3365 S 103 Rd St, Suite 210, Greenfield, WI 53227-4108 Ph: (414) 266-3339 |
Dr. Kumar R Sannagowdara, M D Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 9000 W Sura Ln, Greenfield, WI 53228 Phone: 414-246-6800 Fax: 414-246-6405 | |
Dr. Gregory Andrew Burek, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4455 S 108th St, Greenfield, WI 53228 Phone: 414-427-5310 Fax: 414-427-5311 | |
Dr. Scott Wiener, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8777 W Forest Home Ave, Greenfield, WI 53228 Phone: 206-785-1015 Fax: 206-785-1023 |