John P Rosculet, MD | |
200 Theda Clark Plaza, Suite 110, Neenah, WI 54956 | |
(920) 751-8666 | |
(920) 751-8676 |
Full Name | John P Rosculet |
---|---|
Gender | Male |
Speciality | Ophthalmology - Retina Specialist |
Location | 200 Theda Clark Plaza, Neenah, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679580070 | NPI | - | NPPES |
31922100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207WX0107X | Ophthalmology - Retina Specialist | 34273020 (Wisconsin) | Primary |
Entity Name | Northeast Wisconsin Retina Associates Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437164175 PECOS PAC ID: 8224029707 Enrollment ID: O20040522000093 |
Mailing Address | Practice Location Address |
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John P Rosculet, MD 200 Theda Clark Plaza, Suite 110, Neenah, WI 54956 Ph: (920) 751-8666 | John P Rosculet, MD 200 Theda Clark Plaza, Suite 110, Neenah, WI 54956 Ph: (920) 751-8666 |
Martin Viebahn, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 200 Theda Clark Plaza, Suite 110, Neenah, WI 54956 Phone: 920-751-8666 Fax: 920-751-8676 | |
Khalid S Kahook, M.D., Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 200 Theda Clark Plaza, Suite 110, Neenah, WI 54956 Phone: 920-751-8666 Fax: 920-751-0288 | |
Rajeev Buddi, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 200 Theda Clark Pl, Suite 110, Neenah, WI 54956 Phone: 920-751-8666 Fax: 920-751-8676 | |
Charles Hejny, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 200 Theda Clark Plaza, Suite 110, Neenah, WI 54956 Phone: 920-751-8666 Fax: 920-751-8676 |