| Katie Johannah Livingston, MD | |
|
3003 University Dr, Marinette, WI 54143-4110 | |
| (715) 735-8015 | |
| (715) 732-8215 |
| Full Name | Katie Johannah Livingston |
|---|---|
| Gender | Female |
| Speciality | Radiation Oncology |
| Experience | 8 Years |
| Location | 3003 University Dr, Marinette, 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 |
|---|---|---|---|
| 1861924482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 70902 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora Baycare Medical Ctr | Green bay, WI | Hospital |
| Bay Area Medical Center | Marinette, WI | Hospital |
| Aurora Medical Ctr Manitowoc County | Two rivers, WI | Hospital |
| Aurora Medical Ctr Oshkosh | Oshkosh, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiation Oncology Associates Ltd | 7618924622 | 22 |
| Entity Name | Radiation Oncology Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932154754 PECOS PAC ID: 7618924622 Enrollment ID: O20050401000480 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Johannah Livingston, MD 11516 N Port Washington Rd Ste 107, Mequon, WI 53092-3478 Ph: (262) 241-5040 | Katie Johannah Livingston, MD 3003 University Dr, Marinette, WI 54143-4110 Ph: (715) 735-8015 |
Dr. Robert P Dizor, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4061 Old Peshtigo Rd, Marinette, WI 54143 Phone: 715-732-8000 Fax: 715-732-8007 | |
Dr. Michael John Shanks, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3100 Shore Dr, Radiology Department, Marinette, WI 54143 Phone: 715-735-4200 Fax: 715-735-8019 |