Dr Michael K Donnelly, DO | |
N3708 River Ave, Neillsville, WI 54456-7218 | |
(715) 743-3101 | |
Not Available |
Full Name | Dr Michael K Donnelly |
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Gender | Male |
Speciality | Emergency Medicine |
Location | N3708 River Ave, Neillsville, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1477789105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 71291-21 (Wisconsin) | Primary |
Entity Name | Memorial Hospital, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831150119 PECOS PAC ID: 4486616141 Enrollment ID: O20041103001183 |
Entity Name | Southeastern Emergency Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
Mailing Address | Practice Location Address |
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Dr Michael K Donnelly, DO N3708 River Ave, Neillsville, WI 54456-7218 Ph: (715) 743-3101 | Dr Michael K Donnelly, DO N3708 River Ave, Neillsville, WI 54456-7218 Ph: (715) 743-3101 |
David R Jones, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: N3708 River Ave, Neillsville, WI 54456 Phone: 715-743-8298 | |
Syed Murtaza Hasan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: N3708 River Ave, Neillsville, WI 54456 Phone: 260-234-5400 Fax: 260-234-5110 |