Kevin E Gentile, MD | |
740 Deerwood Ave, Neenah, WI 54956 | |
(920) 751-9600 | |
(920) 751-9667 |
Full Name | Kevin E Gentile |
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Gender | Male |
Speciality | Pediatrics |
Location | 740 Deerwood Ave, 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 |
---|---|---|---|
1134185861 | NPI | - | NPPES |
34914200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 48873 (Wisconsin) | Primary |
Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
Entity Name | Thedacare, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Entity Name | Thedacare Medical Center - Shawano, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548260839 PECOS PAC ID: 5890605836 Enrollment ID: O20031117000117 |
Mailing Address | Practice Location Address |
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Kevin E Gentile, MD 740 Deerwood Ave, Neenah, WI 54956 Ph: (920) 751-9600 | Kevin E Gentile, MD 740 Deerwood Ave, Neenah, WI 54956 Ph: (920) 751-9600 |
Jennifer E Szmanda, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 640 Deerwood Ave, Neenah, WI 54956 Phone: 920-727-9982 Fax: 920-727-9983 | |
William J Kasper, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 740 Deerwood Ave, Neenah, WI 54956 Phone: 920-751-9600 | |
Dr. Abraham Joseph Liebeskind, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 130 2nd St, Neonatology, Neenah, WI 54956 Phone: 920-969-7990 Fax: 920-722-4224 | |
Patricia H Kasper, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 740 Deerwood Ave, Neenah, WI 54956 Phone: 920-751-9600 | |
Jessica Mcdonald, DNP, NNP-BC, APNP Pediatrics Medicare: Medicare Enrolled Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-969-7990 | |
Kelly M Meyer, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 740 Deerwood Ave, Neenah, WI 54956 Phone: 920-751-9600 |