| John Carlos Brockington, MD | |
|
855 N Westhaven Dr, Oshkosh, WI 54904-7668 | |
| (920) 303-8700 | |
| Not Available |
| Full Name | John Carlos Brockington |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 33 Years |
| Location | 855 N Westhaven Dr, Oshkosh, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548200777 | NPI | - | NPPES |
| 04970355 | Medicaid | MS | |
| 100286787 | Medicaid | WI | |
| 051509854 | Other | AL | BLUE CROSS |
| 130025436 | Other | AL | RAILROAD MEDICARE |
| 009901225 | Medicaid | AL | |
| 009938017 | Medicaid | AL | |
| 051509855 | Other | AL | BLUE CROSS |
| 051509855 | Medicaid | AL |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blue Sky Telehealth Llc | 5395155964 | 48 |
| Asante Physician Partners | 8325206246 | 205 |
| Wellspan Medical Group | 1951213115 | 2052 |
| Entity Name | Blue Sky Telehealth Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649886458 PECOS PAC ID: 5395155964 Enrollment ID: O20211115001970 |
| Mailing Address | Practice Location Address |
|---|---|
| John Carlos Brockington, MD 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-5503 | John Carlos Brockington, MD 855 N Westhaven Dr, Oshkosh, WI 54904-7668 Ph: (920) 303-8700 |
Kenneth Charles Casimir, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 220 Washington Ave, Oshkosh, WI 54901 Phone: 920-236-4700 Fax: 920-236-1157 | |
Dr. Alex Patrick Kelsey, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 700 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-456-2030 Fax: 920-456-2025 | |
Dr. Chandralekha Bommakanti, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 500 S Oakwood Rd, Oshkosh, WI 54904 Phone: 920-223-3400 Fax: 920-223-3404 | |
Dr. Wilson Haw Luy Tan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 | |
Dr. Ahmad Y Haffar, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3475 Omro Rd, Suite 200, Oshkosh, WI 54904 Phone: 920-236-0991 Fax: 920-236-0993 | |
Jean Kay Oelschlager, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 |