| Manuel A Mendoza, MD | |
|
1405 Mill St, New London, WI 54961-2155 | |
| (920) 531-2000 | |
| (920) 531-2030 |
| Full Name | Manuel A Mendoza |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 32 Years |
| Location | 1405 Mill St, New London, Wisconsin |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740269158 | NPI | - | NPPES |
| 32248400 | Medicaid | WI | |
| 1009390 | Other | WI | PHYS PLUS PROV # |
| 70 | Other | WI | DEANCARE PROV # |
| 930117017 | Other | WI | RAILROAD MEDICARE PROV # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 387187-020 (Wisconsin) | Secondary |
| 207P00000X | Emergency Medicine | 38187 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Family Memorial | Manitowoc, WI | Hospital |
| Roy Lester Schneider Hospital,the | St thomas, VI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vi Government Hospital And Health Facilities Corp | 6204722879 | 25 |
| Mailing Address | Practice Location Address |
|---|---|
| Manuel A Mendoza, MD 707 14th St, Baraboo, WI 53913-1539 Ph: (608) 356-1400 | Manuel A Mendoza, MD 1405 Mill St, New London, WI 54961-2155 Ph: (920) 531-2000 |
Shawn S Williamson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2021 | |
Amber Lievens Widenski, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2030 | |
Jocko R Zifferblatt, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2000 | |
Dr. John A Watring, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2000 | |
Carolyn A Hellman, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2000 Fax: 920-531-2098 | |
Jacob Kream, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2021 | |
Dr. Robert A Prahl, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2030 Fax: 920-531-2016 |