Kevin M Gilmartin, MD | |
733 W Clairemont Ave, Eau Claire, WI 54701-6101 | |
(715) 838-5222 | |
Not Available |
Full Name | Kevin M Gilmartin |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 733 W Clairemont Ave, Eau Claire, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588643803 | NPI | - | NPPES |
3253500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 39047 (Wisconsin) | Primary |
Entity Name | Ho Chunk Nation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407911795 PECOS PAC ID: 5496709867 Enrollment ID: O20050309000066 |
Mailing Address | Practice Location Address |
---|---|
Kevin M Gilmartin, MD Po Box 1510, Eau Claire, WI 54702-1510 Ph: (715) 838-5222 | Kevin M Gilmartin, MD 733 W Clairemont Ave, Eau Claire, WI 54701-6101 Ph: (715) 838-5222 |
Camilla Michelle Nelson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
John J Plewa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 733 W Clairemont Ave, Eau Claire, WI 54701 Phone: 715-838-5222 | |
Uday Tiwari, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Spoorthi Jagadish, Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Dr. Chetna Mangat, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Naghma Husain, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
John P Layde, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 733 W Clairemont Ave, Eau Claire, WI 54701 Phone: 715-838-5222 |