| Dr Michael K Donnelly, DO | |
|
N3708 River Ave, Neillsville, WI 54456-7218 | |
| (715) 743-3101 | |
| Not Available |
| Full Name | Dr Michael K Donnelly |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | N3708 River Ave, Neillsville, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477789105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 71291-21 (Wisconsin) | Primary |
| Entity Name | Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831150119 PECOS PAC ID: 4486616141 Enrollment ID: O20041103001183 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael K Donnelly, DO N3708 River Ave, Neillsville, WI 54456-7218 Ph: (715) 743-3101 | Dr Michael K Donnelly, DO N3708 River Ave, Neillsville, WI 54456-7218 Ph: (715) 743-3101 |
David R Jones, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: N3708 River Ave, Neillsville, WI 54456 Phone: 715-743-8298 | |
Syed Murtaza Hasan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: N3708 River Ave, Neillsville, WI 54456 Phone: 260-234-5400 Fax: 260-234-5110 | |
Dr. Zachary Joseph Shaub, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: N3708 River Ave, Neillsville, WI 54456 Phone: 715-743-3101 |