Jonathan D Roe, MD | |
3400 Deerfield Dr, Janesville, WI 53546-3557 | |
(608) 314-3600 | |
(608) 314-3601 |
Full Name | Jonathan D Roe |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 3400 Deerfield Dr, Janesville, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366507709 | NPI | - | NPPES |
32061100 | Medicaid | WI | |
347845572 1 | Medicaid | IL | |
ROEJON | Other | WI | MERCYCARE INSURANCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35916-20 (Wisconsin) | Primary |
Entity Name | Mercy Health System Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
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Jonathan D Roe, MD 3400 Deerfield Dr, Janesville, WI 53546-3557 Ph: (608) 314-3600 | Jonathan D Roe, MD 3400 Deerfield Dr, Janesville, WI 53546-3557 Ph: (608) 314-3600 |
John M Ziegler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8919 | |
Dr. Katsumi Neeno, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2341 Tradition Ln, Janesville, WI 53545 Phone: 608-754-0999 | |
Julie A Waraksa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8919 | |
Dr. Kristen M Goelzer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3524 E Milwaukee St, Janesville, WI 53546 Phone: 608-756-7100 | |
Mary Augustian, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3524 E Milwaukee St, Janesville, WI 53546 Phone: 608-756-7100 Fax: 608-756-4700 | |
Alfredo F Mendoza, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8919 |