Dr Michael Medapally Henry, MD | |
855 N Westhaven Dr, Oshkosh, WI 54904-7668 | |
(920) 303-8700 | |
(920) 456-7601 |
Full Name | Dr Michael Medapally Henry |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 855 N Westhaven Dr, Oshkosh, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992060693 | NPI | - | NPPES |
100236462 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | D84800 (Maryland) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 3011 (Wisconsin) | Primary |
Entity Name | Pediatrix Of Maryland Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134226848 PECOS PAC ID: 8123259975 Enrollment ID: O20140320001567 |
Mailing Address | Practice Location Address |
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Dr Michael Medapally Henry, MD Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Dr Michael Medapally Henry, MD 855 N Westhaven Dr, Oshkosh, WI 54904-7668 Ph: (920) 303-8700 |
Dr. Deborah M Hermes, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 | |
Dr. Scott B Johnson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 Fax: 920-303-4129 | |
Susan M Szabo, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1855 S Koeller St, Oshkosh, WI 54902 Phone: 920-223-7200 | |
Dr. Jean Ruth Thur, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 Fax: 920-456-5831 | |
Dr. Vee Ly, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 Fax: 920-303-5632 | |
Dr. Matthew Paige Downs, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 Fax: 920-456-5831 | |
Christopher J Laufer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1855 S Koeller St, Oshkosh, WI 54902 Phone: 920-223-7200 |