Mary Augustian, MD | |
3524 E Milwaukee St, Janesville, WI 53546-1626 | |
(608) 756-7100 | |
(608) 756-4700 |
Full Name | Mary Augustian |
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Gender | Female |
Speciality | Pediatrics |
Location | 3524 E Milwaukee St, Janesville, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295259513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 72472-20 (Wisconsin) | Primary |
Entity Name | Mercy Health System Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
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Mary Augustian, MD 3524 E Milwaukee St, Janesville, WI 53546-1626 Ph: (608) 756-7100 | Mary Augustian, MD 3524 E Milwaukee St, Janesville, WI 53546-1626 Ph: (608) 756-7100 |
John M Ziegler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8919 | |
Dr. Katsumi Neeno, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2341 Tradition Ln, Janesville, WI 53545 Phone: 608-754-0999 | |
Julie A Waraksa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8919 | |
Dr. Kristen M Goelzer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3524 E Milwaukee St, Janesville, WI 53546 Phone: 608-756-7100 | |
Alfredo F Mendoza, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8919 | |
Jonathan D Roe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3400 Deerfield Dr, Janesville, WI 53546 Phone: 608-314-3600 Fax: 608-314-3601 |