Peter Menser Deyoung, MD | |
202 S Park St, Division Of Neonatology-6 Center, Madison, WI 53715-1507 | |
(608) 252-6561 | |
Not Available |
Full Name | Peter Menser Deyoung |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 202 S Park St, Madison, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1992897060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 46563-020 (Wisconsin) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | M5688 (Texas) | Primary |
Entity Name | Magella Medical Associates Billing Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083631071 PECOS PAC ID: 8729970215 Enrollment ID: O20041115001144 |
Mailing Address | Practice Location Address |
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Peter Menser Deyoung, MD 5430 Fredericksburg Rd Ste 508, San Antonio, TX 78229-3561 Ph: (210) 541-8281 | Peter Menser Deyoung, MD 202 S Park St, Division Of Neonatology-6 Center, Madison, WI 53715-1507 Ph: (608) 252-6561 |
Dr. Emily Ann Forster, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400 | |
Dr. Daniel J Jackson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Csc Box 9988, Madison, WI 53792 Phone: 608-239-3515 | |
Dr. Elma O Sia, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4410 Regent St, Madison, WI 53705 Phone: 608-233-9746 | |
Patricia V Staats, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1217 Gilbert Rd, Madison, WI 53711 Phone: 608-274-3636 | |
Michael W Ritter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7610 Sawmill Rd, Madison, WI 53717 Phone: 608-831-1528 | |
Dr. Jesse Roach, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6420 | |
Norris Glick, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 317 Knutson Drive, Madison, WI 53704 Phone: 608-301-1791 |