Dr Tina G Damarjian, MD | |
925 N 87th St, Pediatric Ophthalmology, Milwaukee, WI 53226-4812 | |
(414) 955-2020 | |
Not Available |
Full Name | Dr Tina G Damarjian |
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Gender | Female |
Speciality | Ophthalmology |
Location | 925 N 87th St, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184935918 | NPI | - | NPPES |
1184935918 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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207W00000X | Ophthalmology | 01071251A (Indiana) | Secondary |
207W00000X | Ophthalmology | 65801 (Wisconsin) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Dr Tina G Damarjian, MD 925 N 87th St, Pediatric Ophthalmology, Milwaukee, WI 53226-4812 Ph: (414) 955-2020 | Dr Tina G Damarjian, MD 925 N 87th St, Pediatric Ophthalmology, Milwaukee, WI 53226-4812 Ph: (414) 955-2020 |
Lincoln Shaw, Ophthalmology Medicare: Medicare Enrolled Practice Location: 2600 N Mayfair Rd Ste 901, Milwaukee, WI 53226 Phone: 773-702-3937 | |
Jay A. Met, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2600 N Mayfair Rd, #350, Milwaukee, WI 53226 Phone: 414-777-0110 | |
Jane Marie Collis-geers, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 2906 S 20th St, Milwaukee, WI 53215 Phone: 414-672-1353 Fax: 414-385-7552 | |
Jacquelyn Laplant, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 925 N 87th St, Milwaukee, WI 53226 Phone: 414-955-2020 Fax: 414-955-6300 | |
Shivam Vipul Amin, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 925 N 87th St, Milwaukee, WI 53226 Phone: 414-955-2020 Fax: 414-955-6300 | |
Jourdan Danielle Valkner Krause, OD Ophthalmology Medicare: Medicare Enrolled Practice Location: 925 N 87th St, Milwaukee, WI 53226 Phone: 414-955-2020 Fax: 414-955-6300 | |
Carleigh Nicole Bruce, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 925 N 87th St, Milwaukee, WI 53226 Phone: 414-955-7840 |