| Connor J Medbery, MD | |
|
855 N Westhaven Dr, Oshkosh, WI 54904-7668 | |
| (920) 303-8700 | |
| Not Available |
| Full Name | Connor J Medbery |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 855 N Westhaven Dr, Oshkosh, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770164675 | NPI | - | NPPES |
| 100279439 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 83962 (Wisconsin) | Secondary |
| 207P00000X | Emergency Medicine | 036166651 (Illinois) | Primary |
| Entity Name | Cepamerica Illinois Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Connor J Medbery, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Connor J Medbery, MD 855 N Westhaven Dr, Oshkosh, WI 54904-7668 Ph: (920) 303-8700 |
John M Rosebush Jr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-456-7400 Fax: 920-456-7421 | |
Kevin L Polglaze, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-490-9046 | |
Hannah Johnshoy, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 | |
Trevor C Fenrich, EMT-B Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 621 Evans St, Oshkosh, WI 54901 Phone: 920-233-0888 | |
Jayzon P Martonito, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 | |
Kenneth Thomson, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 | |
Daniel Gale, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-456-7400 Fax: 920-456-7421 |