| Michael Byron Mccormick, MD | |
|
2300 Western Ave, Manitowoc, WI 54220-3712 | |
| (920) 320-2011 | |
| (920) 320-5129 |
| Full Name | Michael Byron Mccormick |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 2300 Western Ave, Manitowoc, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366557852 | NPI | - | NPPES |
| 220030087 | Other | WI | MEDICARE RAILROAD |
| 32636100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 38424 (Wisconsin) | Primary |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Entity Name | Froedtert Manitowoc Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Byron Mccormick, MD 2300 Western Ave, Manitowoc, WI 54220-3712 Ph: (920) 320-2011 | Michael Byron Mccormick, MD 2300 Western Ave, Manitowoc, WI 54220-3712 Ph: (920) 320-2011 |
Dr. Douglas Alan Hansen, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 801 York St, Manitowoc, WI 54220 Phone: 920-663-9008 Fax: 920-684-1439 | |
Diane Elyse Perkins, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 801 York St, Manitowoc, WI 54220 Phone: 920-683-5278 Fax: 920-686-9674 | |
Willmar Davison Patino Cadavid, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 801 York St, Manitowoc, WI 54220 Phone: 920-683-5278 Fax: 920-686-9674 | |
Dr. Daniel Wesley Abbott, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2300 Western Ave, Manitowoc, WI 54220 Phone: 920-320-2011 Fax: 920-320-5129 | |
Dr. Bruce Daniel Leckey Jr., DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 801 York St, Manitowoc, WI 54220 Phone: 920-683-5278 Fax: 920-686-9674 | |
Ling Xia, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 801 York St, Manitowoc, WI 54220 Phone: 920-683-5278 Fax: 920-686-9674 |