Bryan J Mulheron, DO | |
3509 Dewey St, Manitowoc, WI 54220-5813 | |
(920) 686-5731 | |
Not Available |
Full Name | Bryan J Mulheron |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 15 Years |
Location | 3509 Dewey St, Manitowoc, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215163720 | NPI | - | NPPES |
100024324 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5751321 (Wisconsin) | Primary |
207Q00000X | Family Medicine | 5101018141 (Michigan) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Aurora Medical Ctr Manitowoc County | Two rivers, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aurora Medical Group, Inc. | 6709794258 | 3269 |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
---|---|
Bryan J Mulheron, DO Po Box 735044, Chicago, IL 60673-5044 Ph: (920) 686-5731 | Bryan J Mulheron, DO 3509 Dewey St, Manitowoc, WI 54220-5813 Ph: (920) 686-5731 |
Dr. Michael Herbert Hoffman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3415 Custer St, Suite D, Manitowoc, WI 54220 Phone: 920-652-9310 | |
Laurence J Verlinden, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-4500 Fax: 920-682-9378 | |
Patricia J Cantagallo, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 Reed Ave, Manitowoc, WI 54220 Phone: 920-682-8841 | |
Gary A Schmidt, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-4500 Fax: 920-682-9378 | |
Dr. Diane L Staudinger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3509 Dewey St, Manitowoc, WI 54220 Phone: 920-686-5731 Fax: 920-686-5726 | |
Andrea Jo Poulson-port, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4100 Dewey St, Manitowoc, WI 54220 Phone: 920-686-5700 |