Stephen L Merrill, MD | |
3524 E Milwaukee St, Janesville, WI 53546-1626 | |
(608) 756-7100 | |
(608) 756-4700 |
Full Name | Stephen L Merrill |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 3524 E Milwaukee 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 |
---|---|---|---|
1144246489 | NPI | - | NPPES |
215652 | Other | MEDICARE GROUP # | |
MERRISTE | Other | WI | MERCYCARE INSURANCE |
036049241 | Medicaid | IL | |
553180 | Other | MEDICARE # | |
553180 | Other | IL | MEDICARE GROUP |
P00612688CD3624 | Other | WI | RR MEDICARE |
834340 | Other | MEDICARE GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036049241 (Illinois) | Primary |
207Q00000X | Family Medicine | 036049241 (Illinois) | Secondary |
207Q00000X | Family Medicine | 51728 (Wisconsin) | Secondary |
Entity Name | Mercy Health System Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031111000307 |
Mailing Address | Practice Location Address |
---|---|
Stephen L Merrill, MD 3524 E Milwaukee St, Janesville, WI 53546-1626 Ph: (608) 756-7100 | Stephen L Merrill, MD 3524 E Milwaukee St, Janesville, WI 53546-1626 Ph: (608) 756-7100 |
Michael J. Hartmann, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6111 Fax: 608-756-6177 | |
Dr. Michael V Coogan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6000 | |
Sean William Marquis, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6611 Fax: 608-756-6177 | |
Dr. Karl A Nibbelink, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6611 | |
Christopher M. Koenig, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6611 Fax: 608-756-6177 | |
Dr. Martin Fedko, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6611 Fax: 608-756-6177 |