| Dr Michael Martinez, MD | |
|
3801 Spring St, Racine, WI 53405-1667 | |
| (262) 687-4011 | |
| Not Available |
| Full Name | Dr Michael Martinez |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 3801 Spring St, Racine, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295714707 | NPI | - | NPPES |
| 30476900 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 24574-020 (Wisconsin) | Primary |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Entity Name | Metro Milwaukee Anesthesia Associates Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609130228 PECOS PAC ID: 3577780683 Enrollment ID: O20140814000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Martinez, MD Po Box 599, Kenosha, WI 53141-0599 Ph: (800) 883-7243 | Dr Michael Martinez, MD 3801 Spring St, Racine, WI 53405-1667 Ph: (262) 687-4011 |
Dr. Vijayashree P Shankar, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Racine, WI 53405 Phone: 262-687-4011 | |
Dr. Glenn S Davis, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3801 Spring St, Racine, WI 53405 Phone: 262-687-4011 | |
Dr. Gregory J Capelli, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Racine, WI 53405 Phone: 262-687-4011 | |
Dr. Jean A Grueter, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3801 Spring St, Racine, WI 53405 Phone: 262-687-4011 | |
Dr. Reema I Sanghvi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Racine, WI 53405 Phone: 262-687-4011 |