Dr Robert A Prahl, DO | |
1405 Mill St, New London, WI 54961-2155 | |
(920) 531-2030 | |
(920) 531-2016 |
Full Name | Dr Robert A Prahl |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1405 Mill St, New London, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598074429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 68337 (Wisconsin) | Primary |
Entity Name | Paragon Emergency Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912101650 PECOS PAC ID: 8628153087 Enrollment ID: O20080310000143 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert A Prahl, DO 1405 Mill St, New London, WI 54961-2155 Ph: (920) 531-2030 | Dr Robert A Prahl, DO 1405 Mill St, New London, WI 54961-2155 Ph: (920) 531-2030 |
Ronald J Krajnik, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2021 | |
Shawn S Williamson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2021 | |
Amber Lievens Widenski, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2030 | |
Jocko R Zifferblatt, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2000 | |
Dr. John A Watring, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2000 | |
Carolyn A Hellman, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2000 Fax: 920-531-2098 | |
Jacob Kream, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2021 |