Dr Verona Maierhofer Ittiara, MD | |
701 Grove Ave, Wild Rose, WI 54984-6901 | |
(920) 622-3257 | |
Not Available |
Full Name | Dr Verona Maierhofer Ittiara |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 20 Years |
Location | 701 Grove Ave, Wild Rose, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538248455 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1905-850 (Wisconsin) | Secondary |
207P00000X | Emergency Medicine | 2012033510 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Alton Memorial Hospital | Alton, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeastern Emergency Physicians Of Memphis Llc | 5395643209 | 82 |
Entity Name | Alton-griffin Emergency Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891104824 PECOS PAC ID: 7315167103 Enrollment ID: O20140929002428 |
Entity Name | Southeastern Emergency Physicians Of Memphis Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437105277 PECOS PAC ID: 5395643209 Enrollment ID: O20150520001245 |
Mailing Address | Practice Location Address |
---|---|
Dr Verona Maierhofer Ittiara, MD 701 Grove Ave, Wild Rose, WI 54984-6901 Ph: (920) 622-5560 | Dr Verona Maierhofer Ittiara, MD 701 Grove Ave, Wild Rose, WI 54984-6901 Ph: (920) 622-3257 |
Timothy R Roberts, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Grove Ave, Wild Rose, WI 54984 Phone: 920-622-3257 | |
Joseph M Leon, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 601 Grove Ave, Wild Rose, WI 54984 Phone: 920-622-3257 Fax: 920-622-6021 |