Scott A Martin, MD | |
134 Hospital Dr, Watertown, WI 53098-3304 | |
(920) 261-6500 | |
(920) 261-6107 |
Full Name | Scott A Martin |
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Gender | Male |
Speciality | Pediatrics |
Location | 134 Hospital Dr, Watertown, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114914538 | NPI | - | NPPES |
34510500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 44871020 (Wisconsin) | Primary |
Entity Name | Meade Medical Clinic Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396817789 PECOS PAC ID: 2365348026 Enrollment ID: O20031211000954 |
Mailing Address | Practice Location Address |
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Scott A Martin, MD N17w24100 Riverwood Dr Ste 250, Waukesha, WI 53188-1177 Ph: () - | Scott A Martin, MD 134 Hospital Dr, Watertown, WI 53098-3304 Ph: (920) 261-6500 |
Karie Ann Mantey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 134 Hospital Dr, Watertown, WI 53098 Phone: 920-261-6500 Fax: 920-261-6107 | |
Dr. Brigido C Calado, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1532 Utah St, Watertown, WI 53094 Phone: 920-261-7800 Fax: 920-261-7806 | |
Jeffrey Alan Meade, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 134 Hospital Dr, Watertown, WI 53098 Phone: 920-261-6500 Fax: 920-261-6107 |