Mr Dean Louis Martinelli, MD | |
888 Thackeray Trail, Suite 108, Oconomowoc, WI 53066 | |
(262) 567-0505 | |
(262) 567-0778 |
Full Name | Mr Dean Louis Martinelli |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 53 Years |
Location | 888 Thackeray Trail, Oconomowoc, 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 |
---|---|---|---|
1932174117 | NPI | - | NPPES |
30179100 | Medicaid | WI | |
588 | Other | WI | DEAN HEALTH PLAN |
1004202 | Other | WI | PHYSICIANS PLUS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 18169 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Oconomowoc Memorial Hospital | Oconomowoc, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Otologic Ltd | 0547243800 | 2 |
Entity Name | Central Otologic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295700565 PECOS PAC ID: 0547243800 Enrollment ID: O20040609000823 |
Mailing Address | Practice Location Address |
---|---|
Mr Dean Louis Martinelli, MD 888 Thackeray Trail, Suite 108, Oconomowoc, WI 53066 Ph: (262) 567-0505 | Mr Dean Louis Martinelli, MD 888 Thackeray Trail, Suite 108, Oconomowoc, WI 53066 Ph: (262) 567-0505 |
Mr. Michael Charles Janowak, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 888 Thackeray Trl, Ste 108, Oconomowoc, WI 53066 Phone: 262-567-0505 Fax: 262-567-0778 | |
Dr. Donald S. Blatnik, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 4555 Hewitts Point Rd, Oconomowoc, WI 53066 Phone: 262-649-4381 | |
Dr. Mark W Flick, DO Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 915 Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-2300 Fax: 262-569-2266 |