| Jonathan R Berry, MD | |
|
9576 Hwy 70, Minocqua, WI 54548-9067 | |
| (715) 358-1000 | |
| Not Available |
| Full Name | Jonathan R Berry |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 9576 Hwy 70, Minocqua, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952480824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 30106 (Wisconsin) | Primary |
| 207X00000X | Orthopaedic Surgery | 4301049407 (Michigan) | Secondary |
| Entity Name | Lakeshore Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Entity Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan R Berry, MD 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511 | Jonathan R Berry, MD 9576 Hwy 70, Minocqua, WI 54548-9067 Ph: (715) 358-1000 |
Dr. Kevin L Tadych, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 7520 Us Highway 51 S, Ste A, Minocqua, WI 54548 Phone: 888-444-2873 Fax: 608-467-1393 | |
Hugh P Bogumill, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 9576 Highway 70, Minocqua, WI 54548 Phone: 715-358-1768 | |
John J Watkins, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9576 Hwy 70, Minocqua, WI 54548 Phone: 715-358-1000 |