Mitchell Louis Judge Li, MD | |
420 E Division St, Fond Du Lac, WI 54935-4560 | |
(920) 926-4600 | |
(920) 926-4869 |
Full Name | Mitchell Louis Judge Li |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 11 Years |
Location | 420 E Division St, Fond Du Lac, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932442464 | NPI | - | NPPES |
4301106252 | Other | MI | MI LIMITED LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 4301106252 (Michigan) | Secondary |
207PE0004X | Emergency Medicine - Emergency Medical Services | 65823-20 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osf Multi-specialty Group | 3678889789 | 1552 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Mitchell Louis Judge Li, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-4600 | Mitchell Louis Judge Li, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-4600 |
Ann M Cappellari, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300 | |
Mark S Kermgard, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 N Main St, Fond Du Lac, WI 54935 Phone: 920-926-8492 Fax: 920-926-8903 | |
Dr. Scott J Stellmacher, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54935 Phone: 920-907-7000 | |
Martha W Bauder, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4600 | |
Matthew Murphy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300 | |
Michelle C Pesek-mccoy, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4600 | |
Dr. Michael J Grahl, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4600 |