| Raul M Dejesus, MD | |
|
1300 South Dr., Winnebago, WI 54985-0009 | |
| (920) 235-4910 | |
| (920) 236-2931 |
| Full Name | Raul M Dejesus |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1300 South Dr., Winnebago, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891855649 | NPI | - | NPPES |
| 32184800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35739 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Raul M Dejesus, MD 1300 South Dr., Winnebago, WI 54985-0009 Ph: (920) 235-4910 | Raul M Dejesus, MD 1300 South Dr., Winnebago, WI 54985-0009 Ph: (920) 235-4910 |
Bruce E Weffenstette, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1300 South Dr., Winnebago, WI 54985 Phone: 920-235-4910 Fax: 920-236-2931 | |
Louis M Fulton, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 South Drive, Winnebago Mental Health Information, Winnebago, WI 54985 Phone: 920-235-4910 Fax: 920-235-2931 | |
Dr. Kimberly Sue Hoenecke, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1300 South Drive, Winnebago, WI 54985 Phone: 920-235-4910 | |
Dr. Alla Y Likhterev, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Winnebago Mental Health Institute 1300 South Drive, Winnebago, WI 54985 Phone: 920-235-4910 Fax: 920-236-2931 | |
Ather S Siddiqui, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1300 South Dr., Winnebago, WI 54985 Phone: 920-235-4910 Fax: 920-236-2931 | |
Dr. Alexander M Scharko, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1300 South Drive, Winnebago, WI 54985 Phone: 920-235-4910 Fax: 920-237-2053 | |
Dr. Marshall John Bales, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 1300 South Drive, Winnebago, WI 54985 Phone: 920-235-4910 Fax: 920-237-2043 |