| Corey J Zeller, MD | |
|
701 Grove Ave, Wild Rose, WI 54984-6901 | |
| (920) 622-5560 | |
| Not Available |
| Full Name | Corey J Zeller |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 701 Grove Ave, Wild Rose, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710955299 | NPI | - | NPPES |
| 207Q00000X | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 47141 (Wisconsin) | Primary |
| Entity Name | Thedacare Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
| Entity Name | Emergency Medicine Specialists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568413524 PECOS PAC ID: 8729975461 Enrollment ID: O20040228000032 |
| Mailing Address | Practice Location Address |
|---|---|
| Corey J Zeller, MD 701 Grove Ave, Wild Rose, WI 54984-6901 Ph: (920) 622-5560 | Corey J Zeller, MD 701 Grove Ave, Wild Rose, WI 54984-6901 Ph: (920) 622-5560 |
Gilbert D. Steffanides, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Ave, Wild Rose, WI 54984 Phone: 920-622-6017 | |
Sabahat Mohsin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 Grove Ave, Wild Rose, WI 54984 Phone: 920-622-3257 | |
Teresita Romana, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Ave, Wild Rose, WI 54984 Phone: 920-622-5560 Fax: 920-622-4198 | |
Michael R Staudinger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Ave, Wild Rose, WI 54984 Phone: 920-622-5560 Fax: 920-622-5598 | |
Dr. Verona Maierhofer Ittiara, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Ave, Wild Rose, WI 54984 Phone: 920-622-3257 | |
Chandler D Caves, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Grove Ave, Wild Rose, WI 54984 Phone: 920-622-3257 Fax: 920-622-6020 | |
Chad E Voskuil, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Grove Ave, Wild Rose, WI 54984 Phone: 920-622-3257 Fax: 920-622-5593 |