| Dr M Jerry Zapanta Mariano, MD | |
|
1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744-9603 | |
| (218) 326-3433 | |
| (218) 326-3435 |
| Full Name | Dr M Jerry Zapanta Mariano |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 29 Years |
| Location | 1542 Golf Course Rd, Grand Rapids, Minnesota |
| 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 |
|---|---|---|---|
| 1376582908 | NPI | - | NPPES |
| 184514400 | Medicaid | MN | |
| 43720 | Other | MN | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 43720 (Minnesota) | Primary |
| 207WX0009X | Ophthalmology - Glaucoma Specialist | 43720 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Medical Center-mesabi/ Mesaba Clinics | Hibbing, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| John L Bonner Eye Clinic Ltd | 0547243677 | 3 |
| Entity Name | John L Bonner Eye Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053351817 PECOS PAC ID: 0547243677 Enrollment ID: O20040610000493 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr M Jerry Zapanta Mariano, MD 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744-9603 Ph: (218) 326-3433 | Dr M Jerry Zapanta Mariano, MD 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744-9603 Ph: (218) 326-3433 |
Grant Robert Carlisle, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1542 Golf Course Rd Ste 201, Grand Rapids, MN 55744 Phone: 218-326-3433 Fax: 218-326-3435 | |
Dr. Timothy Charles Bonner, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744 Phone: 218-326-3433 Fax: 218-326-3435 | |
James Raymond Spenningsby, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744 Phone: 218-326-3433 Fax: 218-326-3435 | |
Dr. John A Moran, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744 Phone: 218-326-3433 Fax: 218-326-3435 |