| Colleen Marx, NP | |
|
2300 Western Ave, Manitowoc, WI 54220-3712 | |
| (920) 320-2011 | |
| Not Available |
| Full Name | Colleen Marx |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 23 Years |
| Location | 2300 Western Ave, Manitowoc, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891808242 | NPI | - | NPPES |
| 41185600 | Medicaid | WI | |
| P00120686 | Other | WI | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 2149-033 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Family Memorial | Manitowoc, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Froedtert Manitowoc Medical Group, Llc | 2365836954 | 137 |
| Entity Name | Froedtert Manitowoc Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282 |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Marx, NP Po Box 2290, Manitowoc, WI 54221-2290 Ph: (920) 320-3097 | Colleen Marx, NP 2300 Western Ave, Manitowoc, WI 54220-3712 Ph: (920) 320-2011 |
John Nicholas Moustoukas, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2436 | |
Todd A Nelson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011 | |
Guy A O'connor, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011 | |
Robert Capello, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Bayshore Dr, Manitowoc, WI 54220 Phone: 920-682-6376 Fax: 920-652-0115 | |
James T Murphy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011 | |
Steven G Chilinski, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4100 Dewey St, Manitowoc, WI 54220 Phone: 920-686-5700 | |
Steven Umhoefer, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011 |