| Justin Avigliano, DO | |
|
515 22nd Ave, Monroe, WI 53566-1569 | |
| (608) 324-1000 | |
| (608) 324-2469 |
| Full Name | Justin Avigliano |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 515 22nd Ave, Monroe, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245859297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 81079 (Wisconsin) | Primary |
| Entity Name | Agnesian Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
| Entity Name | The Monroe Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386720548 PECOS PAC ID: 3072425495 Enrollment ID: O20031104000392 |
| Entity Name | Memorial Hospital Of Boscobel |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760459846 PECOS PAC ID: 8325957673 Enrollment ID: O20040115000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Avigliano, DO 515 22nd Ave, Monroe, WI 53566-1569 Ph: (608) 324-1000 | Justin Avigliano, DO 515 22nd Ave, Monroe, WI 53566-1569 Ph: (608) 324-1000 |
Dr. Matthew M Michalski, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 515 22nd Ave, Monroe, WI 53566 Phone: 608-324-2000 | |
Samantha Marie Lease, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 W 8th St, Monroe, WI 53566 Phone: 608-324-2000 | |
Timothy J Hamel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 515 22nd Ave, Monroe, WI 53566 Phone: 608-324-1000 | |
Darren J Pipp, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 515 22nd Ave, Monroe, WI 53566 Phone: 608-324-1000 | |
Michael Falahat, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 515 22nd Ave, Monroe, WI 53566 Phone: 608-324-2859 | |
Mark Olsky, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 515 22nd Ave, Monroe, WI 53566 Phone: 608-324-1000 |