| Elizabeth Mellott, DO | |
|
2031 Peach St, Wisconsin Rapids, WI 54494-5181 | |
| (715) 423-0122 | |
| Not Available |
| Full Name | Elizabeth Mellott |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 10 Years |
| Location | 2031 Peach St, Wisconsin Rapids, 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 |
|---|---|---|---|
| 1578957452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 66471 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aspirus Riverview Hospital & Clinics Inc | Wisconsin rapids, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aspirus Riverview Hospital And Clinics Inc | 4587658182 | 149 |
| Entity Name | Aspirus Riverview Hospital & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295754844 PECOS PAC ID: 4587658182 Enrollment ID: O20040414000945 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Mellott, DO 2031 Peach St, Wisconsin Rapids, WI 54494-5181 Ph: (715) 423-0122 | Elizabeth Mellott, DO 2031 Peach St, Wisconsin Rapids, WI 54494-5181 Ph: (715) 423-0122 |
Jennifer Rebecca Enman-bourgon, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 410 Dewey St, Wisconsin Rapids, WI 54494 Phone: 715-423-6060 | |
Floyd L Dauenhauer Jr., MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2031 Peach St, Wisconsin Rapids, WI 54494 Phone: 715-423-0122 | |
Brent P Fletcher, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2031 Peach St, Wisconsin Rapids, WI 54494 Phone: 715-423-0122 |