| Dr Tiffany Jean Marinier, DO | |
|
3111 Gundersen Dr, Onalaska, WI 54650-8447 | |
| (608) 775-8630 | |
| Not Available |
| Full Name | Dr Tiffany Jean Marinier |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 21 Years |
| Location | 3111 Gundersen Dr, Onalaska, 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 |
|---|---|---|---|
| 1144343161 | NPI | - | NPPES |
| 036125948 | Medicaid | IL | |
| P00897309 | Other | IL | MEDICARE RAILROAD (INDIVIDUAL) |
| 487450009 | Other | IL | MEDICARE PTAN (INDIVIDUAL) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 102952 (Minnesota) | Secondary |
| 207R00000X | Internal Medicine | 036125948 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 60962 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gundersen Lutheran Medical Center | La crosse, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gundersen Lutheran Medical Center Inc | 2163331414 | 793 |
| Gundersen Clinic Ltd | 9638082779 | 345 |
| Entity Name | Gundersen Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
| Entity Name | Tri-county Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417201864 PECOS PAC ID: 4587642418 Enrollment ID: O20040708000696 |
| Entity Name | Gundersen Lutheran Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225873458 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tiffany Jean Marinier, DO 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Dr Tiffany Jean Marinier, DO 3111 Gundersen Dr, Onalaska, WI 54650-8447 Ph: (608) 775-8630 |
Gerlyn M Brasic, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 191 Theater Road, Onalaska, WI 54650 Phone: 608-392-5025 Fax: 608-392-5788 | |
Jack M Lockhart, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-775-8630 | |
Mark J Patterson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-782-7300 | |
Dr. Robert C Uchiyama, M. D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 191 Theater Rd, Onalaska, WI 54650 Phone: 608-785-0940 | |
Jeffrey John Jones Addison, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-775-8100 | |
Dr. Jared I Darveaux, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 311 Gundersen Dr, Onalaska, WI 54650 Phone: 608-775-8100 |