Michael A Martella, DO | |
115 Sweetwater Blvd, Port Washington Health Center, Port Washington, WI 53074-2657 | |
(920) 476-6400 | |
(262) 725-0630 |
Full Name | Michael A Martella |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 19 Years |
Location | 115 Sweetwater Blvd, Port Washington, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194849398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 242268 (New York) | Secondary |
207Q00000X | Family Medicine | 51612 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Holy Family Memorial | Manitowoc, WI | Hospital |
St Nicholas Hospital | Sheboygan, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc | 3678760063 | 1052 |
St. Nicholas Hospital-sisters Of The Third Order Of St Francis | 8325931652 | 151 |
Entity Name | Columbia St Marys Hospital Milwaukee Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023064482 PECOS PAC ID: 5890604722 Enrollment ID: O20031105000057 |
Entity Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
Mailing Address | Practice Location Address |
---|---|
Michael A Martella, DO Port Washington Health Center, 115 Sweetwater Blvd., Port Washington, WI 53074 Ph: (920) 476-6400 | Michael A Martella, DO 115 Sweetwater Blvd, Port Washington Health Center, Port Washington, WI 53074-2657 Ph: (920) 476-6400 |
Stephanie M Maves, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1777 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-3456 | |
Ms. Brooke Marie Lund, STUDENT Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1936 Parknoll Ln, Port Washington, WI 53074 Phone: 262-323-2962 | |
Adam E. Blackwell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Sweetwater Blvd, Port Washington, WI 53074 Phone: 920-476-6400 | |
Scot A Wilfong, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1475 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-5100 Fax: 262-268-5118 | |
Elizabeth Dzwonczyk, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1475 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-5100 | |
John P Bonavia, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1317 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-6998 |