| John Nicholas Moustoukas, MD | |
|
2300 Western Ave, Manitowoc, WI 54220-3712 | |
| (920) 320-2436 | |
| Not Available |
| Full Name | John Nicholas Moustoukas |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 14 Years |
| Location | 2300 Western Ave, Manitowoc, 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 |
|---|---|---|---|
| 1124317847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01073262A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 036.134200 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Family Memorial | Manitowoc, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iems Physician Services Pllc | 2567802556 | 39 |
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
| Entity Name | Illinois Emergency Medicine Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003150962 PECOS PAC ID: 6103071808 Enrollment ID: O20130304000132 |
| Entity Name | Community First Healthcare Of Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881059897 PECOS PAC ID: 2860716685 Enrollment ID: O20160104001552 |
| Entity Name | Insight Chicago Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881261006 PECOS PAC ID: 2860894706 Enrollment ID: O20210714002059 |
| Entity Name | Iems Physician Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790544047 PECOS PAC ID: 2567802556 Enrollment ID: O20240424001359 |
| Mailing Address | Practice Location Address |
|---|---|
| John Nicholas Moustoukas, MD 2325 N Wayne Ave, Chicago, IL 60614-3118 Ph: (504) 669-1233 | John Nicholas Moustoukas, MD 2300 Western Ave, Manitowoc, WI 54220-3712 Ph: (920) 320-2436 |
Todd A Nelson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011 | |
Guy A O'connor, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011 | |
Robert Capello, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 Bayshore Dr, Manitowoc, WI 54220 Phone: 920-682-6376 Fax: 920-652-0115 | |
James T Murphy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011 | |
Steven G Chilinski, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4100 Dewey St, Manitowoc, WI 54220 Phone: 920-686-5700 | |
Steven Umhoefer, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011 |