Maria D De Villa, MD | |
1580 Commanche Ave, Green Bay, WI 54313-5751 | |
(920) 435-8326 | |
(920) 430-4659 |
Full Name | Maria D De Villa |
---|---|
Gender | Female |
Speciality | Hematology/oncology |
Experience | 35 Years |
Location | 1580 Commanche Ave, Green Bay, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538321252 | NPI | - | NPPES |
100057118 | Medicaid | WI | |
P01669360 | Other | WI | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 24698 (Nebraska) | Secondary |
207RX0202X | Internal Medicine - Medical Oncology | 65835-20 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Unity Hospice | De pere, WI | Hospice |
Bellin Memorial Hospital | Green bay, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oconto Hospital And Medical Center Inc | 2163461781 | 193 |
Bellin Memorial Hospital Inc | 8820900749 | 533 |
Entity Name | Bellin Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
Entity Name | Oconto Hospital & Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356373302 PECOS PAC ID: 2163461781 Enrollment ID: O20050713000836 |
Mailing Address | Practice Location Address |
---|---|
Maria D De Villa, MD Po Box 22487, Green Bay, WI 54305-2487 Ph: (920) 445-7226 | Maria D De Villa, MD 1580 Commanche Ave, Green Bay, WI 54313-5751 Ph: (920) 435-8326 |
Amritha Chandrahasa Karkera, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8000 | |
Yaw D Berko, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1726 Shawano Ave, Green Bay, WI 54303 Phone: 920-496-4700 | |
Lee James Klemens, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-496-4705 | |
Dr. Kevin L Mortara, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1580 Commanche Ave, Green Bay, WI 54313 Phone: 920-435-8326 Fax: 920-430-4659 | |
William T Witmer, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd Ste 310, Green Bay, WI 54311 Phone: 920-288-8300 Fax: 920-288-8305 | |
Jay Matthew Salmon, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2845 Greenbrier Rd, Green Bay, WI 54311 Phone: 920-288-8100 | |
Dr. Alay Mansurov, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1580 Commanche Ave, Green Bay, WI 54313 Phone: 920-435-8326 Fax: 920-430-4659 |