John Alois Gommermann, MD is a
Radiology - Diagnostic Radiology physician based in Wautoma, Wisconsin. John Alois Gommermann is licensed to practice in Wisconsin (license number 22373-20) and his current practice location is N2753 Johns Lake Rd, Wautoma, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 787-4585.
NPI number for John Alois Gommermann is 1871855882 and his current mailing address is N2753 Johns Lake Rd, Wautoma, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871855882.
Physician's Profile
Full Name | John Alois Gommermann |
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Gender | Male |
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Speciality | Radiology - Diagnostic Radiology |
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Location | N2753 Johns Lake Rd, Wautoma, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871855882
- Provider Enumeration Date: 06/14/2012
- Last Update Date: 06/14/2012
Medical Identifiers
Medical identifiers for John Alois Gommermann such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871855882 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 22373-20 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Alois Gommermann is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
John Alois Gommermann, MD N2753 Johns Lake Rd, Wautoma, WI 54982-7966 Ph: (920) 787-4585 | John Alois Gommermann, MD N2753 Johns Lake Rd, Wautoma, WI 54982-7966 Ph: (920) 787-4585 |
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