| Dr Mona S Hermina, MD | |
|
130 2nd St, Neenah, WI 54956-2883 | |
| (920) 738-6315 | |
| (920) 729-3031 |
| Full Name | Dr Mona S Hermina |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 27 Years |
| Location | 130 2nd St, Neenah, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811978224 | NPI | - | NPPES |
| 34050800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 42234-020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
| Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
| Thedacare Medical Center - New London | New london, WI | Hospital |
| Berlin Memorial Hospital | Berlin, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fox Valley Pathologists Sc | 4688673486 | 8 |
| Entity Name | Fox Valley Pathologists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023112661 PECOS PAC ID: 4688673486 Enrollment ID: O20061205000218 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mona S Hermina, MD 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: (800) 288-8325 | Dr Mona S Hermina, MD 130 2nd St, Neenah, WI 54956-2883 Ph: (920) 738-6315 |
Dr. Gary K Ludwig, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-2500 Fax: 920-729-3031 | |
Rebecca Buell-gutbrod, Pathology Medicare: Accepting Medicare Assignments Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-3100 | |
Sagar Jitendra Vishal, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 207-293-1009 | |
Dr. Jennifer Ziebell, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-3100 | |
Dr. Tiffany E Corrigan, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-2499 Fax: 920-729-3031 | |
Dr. Amy Marie Sheldon, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-3100 Fax: 920-923-5260 |