Dr Rose M Cipres-jaucian, MD | |
1723 Spring Hills Ln, De Pere, WI 54115-8369 | |
(920) 403-7982 | |
Not Available |
Full Name | Dr Rose M Cipres-jaucian |
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Gender | Female |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 1723 Spring Hills Ln, De Pere, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003867417 | NPI | - | NPPES |
200935420 | Medicaid | IN | |
34540600 | Medicaid | WI | |
009906261I | Other | HUMANA | |
000000603384 | Other | IN | ANTHEM PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 01056207A (Indiana) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 22782-20 (Wisconsin) | Primary |
Entity Name | Parkview Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288 |
Mailing Address | Practice Location Address |
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Dr Rose M Cipres-jaucian, MD 1723 Spring Hills Ln, De Pere, WI 54115-8369 Ph: () - | Dr Rose M Cipres-jaucian, MD 1723 Spring Hills Ln, De Pere, WI 54115-8369 Ph: (920) 403-7982 |
Dr. Laura Jean Gallistel, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 555 Redbird Cir Ste 200, De Pere, WI 54115 Phone: 920-338-6820 | |
Yoloxochitl Diaz, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1881 Chicago St, De Pere, WI 54115 Phone: 920-403-8000 | |
Dr. Douglas Randal Zabrowski, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 555 Redbird Cir, De Pere, WI 54115 Phone: 920-969-5353 Fax: 414-337-7201 | |
Matthew R. Theado, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 555 Redbird Cir, Suite 200, De Pere, WI 54115 Phone: 920-338-6820 Fax: 920-338-6829 | |
Dr. Caitlin Quinn Barr, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 555 Redbird Cir, De Pere, WI 54115 Phone: 920-338-6820 Fax: 920-338-6829 | |
Scott G Zahn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1881 Chicago St, De Pere, WI 54115 Phone: 920-403-8000 |