Dr Paul E Mannino, MD | |
3524 E Milwaukee St, Janesville, WI 53546-1626 | |
(608) 756-7100 | |
Not Available |
Full Name | Dr Paul E Mannino |
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Gender | Male |
Speciality | Family Medicine |
Location | 3524 E Milwaukee St, Janesville, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902973647 | NPI | - | NPPES |
32255400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35772 (Wisconsin) | Primary |
Entity Name | Mercy Health System Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
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Dr Paul E Mannino, MD 3524 E Milwaukee St, Janesville, WI 53546-1626 Ph: (608) 756-7100 | Dr Paul E Mannino, MD 3524 E Milwaukee St, Janesville, WI 53546-1626 Ph: (608) 756-7100 |
Dr. Lawrence M Shea, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3524 E Milwaukee St, Janesville, WI 53546 Phone: 608-756-7100 | |
Dr. Daniel J Kulas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 849 Kellogg Ave, Janesville, WI 53546 Phone: 608-755-7960 | |
Dr. Timothy S Reid, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 N Washington St, Janesville, WI 53548 Phone: 608-741-6799 | |
Dr. Shane M Durkes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 849 Kellogg Ave, Janesville, WI 53546 Phone: 608-755-7960 | |
Saad Mohsin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 849 Kellogg Ave, Janesville, WI 53546 Phone: 608-755-7960 Fax: 608-755-7873 | |
Setareh Saeian, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 849 Kellogg Ave, Janesville, WI 53546 Phone: 608-758-8565 | |
Marsha M. Landvatter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 849 Kellogg Ave, Janesville, WI 53546 Phone: 608-755-7960 Fax: 608-755-7873 |