| Dr Sachin S Jogal, MD | |
|
420 E Division St, Fond Du Lac, WI 54935-4560 | |
| (209) 268-4249 | |
| (920) 926-8389 |
| Full Name | Dr Sachin S Jogal |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 420 E Division St, Fond Du Lac, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831140672 | NPI | - | NPPES |
| 1831140672 | Medicaid | WI | |
| 029906261M | Other | HUMANA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 31832 (Tennessee) | Secondary |
| 208000000X | Pediatrics | 44025-20 (Wisconsin) | Primary |
| Entity Name | Memphis Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144236902 PECOS PAC ID: 7315859972 Enrollment ID: O20031103000245 |
| Entity Name | Cherokee Health Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134128820 PECOS PAC ID: 3577474295 Enrollment ID: O20031119000769 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sachin S Jogal, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8424 | Dr Sachin S Jogal, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (209) 268-4249 |
Kristine S Taivalmaa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8424 Fax: 920-926-8389 | |
Amy K Flores, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8424 | |
Barbara D Zink, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937 Phone: 920-907-7000 Fax: 920-907-7012 | |
Nicole Denise Schwendel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8424 | |
Dr. Amy S Emmer-sheldon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54935 Phone: 920-907-7000 Fax: 920-907-7012 | |
Andrea Jean Aul, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300 | |
Dr. Marian E Asfeld Freund, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54935 Phone: 920-907-7000 Fax: 920-907-7012 |