| Marsha M Landvatter, MD | |
|
849 Kellogg Ave, Janesville, WI 53546-2808 | |
| (608) 755-7960 | |
| (608) 755-7873 |
| Full Name | Marsha M Landvatter |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 849 Kellogg Ave, Janesville, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053809343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 70936-20 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 60135 (Arizona) | Secondary |
| 208M00000X | Hospitalist | 70936-20 (Wisconsin) | Primary |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Marsha M Landvatter, MD 849 Kellogg Ave, Janesville, WI 53546-2808 Ph: (608) 755-7960 | Marsha M Landvatter, MD 849 Kellogg Ave, Janesville, WI 53546-2808 Ph: (608) 755-7960 |
Jessica Prenot, NP Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6000 | |
William K Clanfield, MD Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 3400 E Racine St, Janesville, WI 53546 Phone: 608-373-8000 | |
Sheree M Lauth, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 3400 E Racine St, Janesville, WI 53546 Phone: 608-373-8000 Fax: 608-373-8006 | |
Dr. Navneet Sidhu, M.D. Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 1000 Mineral Point Ave, Dean Medical Center, Janesville, WI 53548 Phone: 608-756-6000 | |
Christine E Langemo, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 3400 E Racine St, Janesville, WI 53546 Phone: 608-373-8000 | |
Jennifer H Johnson, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3400 E Racine St, Janesville, WI 53546 Phone: 608-373-8000 Fax: 608-373-8514 | |
Maher Mourad, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3400 E Racine St, Janesville, WI 53546 Phone: 608-373-8000 |