Michael R Vicente, MD | |
220 Washington Ave, Oshkosh, WI 54901-5030 | |
(920) 236-4700 | |
(920) 236-1157 |
Full Name | Michael R Vicente |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 25 Years |
Location | 220 Washington Ave, Oshkosh, 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 |
---|---|---|---|
1669486619 | NPI | - | NPPES |
000771090 | Other | WI | MEDICARE PTAN |
32562200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 40821 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
County Of Winnebago | 4082515358 | 12 |
Entity Name | County Of Winnebago |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508960675 PECOS PAC ID: 4082515358 Enrollment ID: O20040119000703 |
Mailing Address | Practice Location Address |
---|---|
Michael R Vicente, MD 220 Washington Ave, Oshkosh, WI 54901-5030 Ph: (920) 236-4700 | Michael R Vicente, MD 220 Washington Ave, Oshkosh, WI 54901-5030 Ph: (920) 236-4700 |
Kenneth Charles Casimir, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 220 Washington Ave, Oshkosh, WI 54901 Phone: 920-236-4700 Fax: 920-236-1157 | |
Dr. Chandralekha Bommakanti, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 500 S Oakwood Rd, Oshkosh, WI 54904 Phone: 920-223-3400 Fax: 920-223-3404 | |
Dr. Wilson Haw Luy Tan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 | |
Dr. Ahmad Y Haffar, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3475 Omro Rd, Suite 200, Oshkosh, WI 54904 Phone: 920-236-0991 Fax: 920-236-0993 | |
Jean Kay Oelschlager, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 | |
John Carlos Brockington, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 | |
Charles D Morgan, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2700 W 9th Ave, Ste 320, Oshkosh, WI 54904 Phone: 920-223-3585 |