| Dr Jodi Ann Pelegrin, DO | |
|
2901 S Overland Rd, Oneida, WI 54155-8959 | |
| (920) 869-2711 | |
| Not Available |
| Full Name | Dr Jodi Ann Pelegrin |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 2901 S Overland Rd, Oneida, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891802286 | NPI | - | NPPES |
| 04515143 | Other | IL | BCBS# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 42297-21 (Wisconsin) | Primary |
| Entity Name | Lakeshore Community Health Care, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245520519 PECOS PAC ID: 3173773124 Enrollment ID: O20130605000747 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jodi Ann Pelegrin, DO Po Box 365, Oneida, WI 54155-0365 Ph: (920) 869-2711 | Dr Jodi Ann Pelegrin, DO 2901 S Overland Rd, Oneida, WI 54155-8959 Ph: (920) 869-2711 |
Dr. Gerald R Verstoppen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Airport Dr, Oneida, WI 54155 Phone: 920-869-2711 |
David M Danby, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Airport Dr, Oneida, WI 54155 Phone: 920-869-2711 Fax: 920-869-4979 |
Peri Lynne Aldrich, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1077 Sunlite Dr, Oneida, WI 54155 Phone: 920-434-9012 Fax: 920-434-9015 |
Jay Kelly Kennard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 Airport Dr, Oneida, WI 54155 Phone: 920-869-2711 Fax: 920-869-1077 |