Randy R Isaacs, MD | |
3200 E Racine St, Janesville, WI 53546 | |
(608) 371-8000 | |
(608) 371-8919 |
Full Name | Randy R Isaacs |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 3200 E Racine 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 |
---|---|---|---|
1851385462 | NPI | - | NPPES |
1851385462 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 70133-20 (Wisconsin) | Primary |
Entity Name | Community Health Centers Of Southeastern Iowa Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255339750 PECOS PAC ID: 4486562527 Enrollment ID: O20040219000446 |
Mailing Address | Practice Location Address |
---|---|
Randy R Isaacs, MD 3200 E Racine St, Janesville, WI 53546-2343 Ph: (608) 371-8000 | Randy R Isaacs, MD 3200 E Racine St, Janesville, WI 53546 Ph: (608) 371-8000 |
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 | |
Mary Augustian, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3524 E Milwaukee St, Janesville, WI 53546 Phone: 608-756-7100 Fax: 608-756-4700 | |
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 |