| Kevin E Gentile, MD | |
|
740 Deerwood Ave, Neenah, WI 54956 | |
| (920) 751-9600 | |
| (920) 751-9667 |
| Full Name | Kevin E Gentile |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 740 Deerwood Ave, Neenah, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134185861 | NPI | - | NPPES |
| 34914200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 48873 (Wisconsin) | Primary |
| Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
| Entity Name | Thedacare Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
| Entity Name | Thedacare Medical Center - Shawano, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548260839 PECOS PAC ID: 5890605836 Enrollment ID: O20031117000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin E Gentile, MD 740 Deerwood Ave, Neenah, WI 54956 Ph: (920) 751-9600 | Kevin E Gentile, MD 740 Deerwood Ave, Neenah, WI 54956 Ph: (920) 751-9600 |
Jennifer E Szmanda, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 640 Deerwood Ave, Neenah, WI 54956 Phone: 920-727-9982 Fax: 920-727-9983 | |
Dr. Erik Verhage, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-969-7900 | |
William J Kasper, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 740 Deerwood Ave, Neenah, WI 54956 Phone: 920-751-9600 | |
Dr. Abraham Joseph Liebeskind, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 130 2nd St, Neonatology, Neenah, WI 54956 Phone: 920-969-7990 Fax: 920-722-4224 | |
Patricia H Kasper, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 740 Deerwood Ave, Neenah, WI 54956 Phone: 920-751-9600 | |
Jessica Mcdonald, DNP, NNP-BC, APNP Pediatrics Medicare: Medicare Enrolled Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-969-7990 |