Jody R Gross, MD | |
1000 N Oak Ave, Marshfield, WI 54449-5777 | |
(715) 387-5065 | |
Not Available |
Full Name | Jody R Gross |
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Gender | Female |
Speciality | Pediatrics - Pediatric Critical Care Medicine |
Location | 1000 N Oak Ave, Marshfield, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114028941 | NPI | - | NPPES |
30590900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | 26376 (Wisconsin) | Secondary |
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 26376 (Wisconsin) | Primary |
Entity Name | Marshfield Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
Entity Name | Mchs Hospitals Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
Mailing Address | Practice Location Address |
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Jody R Gross, MD 1000 N Oak Ave, Marshfield, WI 54449-5777 Ph: () - | Jody R Gross, MD 1000 N Oak Ave, Marshfield, WI 54449-5777 Ph: (715) 387-5065 |
Jacob William Lonsdale, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5202 Fax: 715-387-5754 | |
Dr. Samantha Shapiro, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 866-951-4321 | |
Ralph Joseph Vardis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511 | |
Christiana Gloria Pedersen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 800-782-8581 | |
Anjali Parekh, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5600 | |
Dr. Bethany Freedman Peri, M.D., PH.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-389-0633 | |
Kathleen M Finta, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-389-3701 |