Felix Jolly Odathil, MD | |
1405 Mill St, New London, WI 54961-2155 | |
(920) 531-2000 | |
(920) 531-2450 |
Full Name | Felix Jolly Odathil |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 8 Years |
Location | 1405 Mill St, New London, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467983833 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 73944 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thedacare At Home | Appleton, WI | Home health agency |
Thedacare Medical Center - New London | New london, WI | Hospital |
Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Thedacare, Incorporated | 1759294887 | 509 |
Entity Name | Thedacare, Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Mailing Address | Practice Location Address |
---|---|
Felix Jolly Odathil, MD 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (920) 454-4229 | Felix Jolly Odathil, MD 1405 Mill St, New London, WI 54961-2155 Ph: (920) 531-2000 |
Donn Fuhrmann, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2400 Fax: 920-531-2450 | |
Timothy Houlihan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2400 Fax: 920-531-2450 | |
Renae Schuler, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2400 Fax: 920-531-2450 | |
Reginald A Ebirim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2000 Fax: 920-531-2098 | |
Dale L Schlais, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1420 Algoma St, New London, WI 54961 Phone: 920-982-8300 | |
Joseph Lamb, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2400 Fax: 920-531-2450 |