Manoj V Mody, MD | |
12093 W Morgan Oak Dr, Greenfield, WI 53228-1035 | |
(414) 321-8662 | |
(414) 306-7002 |
Full Name | Manoj V Mody |
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Gender | Male |
Speciality | Internal Medicine |
Location | 12093 W Morgan Oak Dr, Greenfield, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639257140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 33750 (Wisconsin) | Primary |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Mailing Address | Practice Location Address |
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Manoj V Mody, MD 12093 W Morgan Oak Dr, Greenfield, WI 53228-1035 Ph: (414) 321-8662 | Manoj V Mody, MD 12093 W Morgan Oak Dr, Greenfield, WI 53228-1035 Ph: (414) 321-8662 |
Heidi J Harkins, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-421-8400 | |
Dr. Michael F Girolami, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-421-8400 | |
Dr. Prasanta K Lahiri, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4448 W Loomis Rd, #204, Greenfield, WI 53220 Phone: 414-281-1688 Fax: 414-281-8170 | |
Dr. Amjed Z Zidan, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 | |
Vallikantha Nellaiappan, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4448 W Loomis Rd, Greenfield, WI 53220 Phone: 414-281-5150 | |
Amel Tobaa, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 6901 W Edgerton Ave, Greenfield, WI 53220 Phone: 414-325-5244 | |
Ryan D Holzmacher, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5017 S 110th St, Greenfield, WI 53228 Phone: 414-301-3531 |