James L Mahoney, MD | |
3111 W Rawson Ave, Suite 225, Franklin, WI 53132-9417 | |
(414) 761-3100 | |
(414) 761-3111 |
Full Name | James L Mahoney |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 3111 W Rawson Ave, Franklin, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679541866 | NPI | - | NPPES |
31778100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 25990 (Wisconsin) | Primary |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Entity Name | Prairie Ridge Health Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154403657 PECOS PAC ID: 6800791484 Enrollment ID: O20040210000777 |
Mailing Address | Practice Location Address |
---|---|
James L Mahoney, MD 3111 W Rawson Ave, Suite 225, Franklin, WI 53132-9417 Ph: (414) 761-3100 | James L Mahoney, MD 3111 W Rawson Ave, Suite 225, Franklin, WI 53132-9417 Ph: (414) 761-3100 |
Parmod Kumar, MD Surgery Medicare: Medicare Enrolled Practice Location: 7400 W Rawson Ave, Suite 115, Franklin, WI 53132 Phone: 414-529-1944 | |
Dr. Christina Marie Golner, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7400 W Rawson Ave, Suite 213, Franklin, WI 53132 Phone: 414-525-1535 Fax: 414-525-1514 |