| Mohammed Abbas Rahemtulla, DO | |
|
903 Mineral Point Ave, Janesville, WI 53548-2970 | |
| (608) 756-5555 | |
| (608) 756-0174 |
| Full Name | Mohammed Abbas Rahemtulla |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 903 Mineral Point 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 |
|---|---|---|---|
| 1588921696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 61196-21 (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 |
|---|---|
| Mohammed Abbas Rahemtulla, DO 903 Mineral Point Ave, Janesville, WI 53548-2970 Ph: (608) 756-5555 | Mohammed Abbas Rahemtulla, DO 903 Mineral Point Ave, Janesville, WI 53548-2970 Ph: (608) 756-5555 |
Daniel Orozco, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6826 Fax: 608-756-6160 | |
Dr. Monica Irina Simionescu, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8943 | |
Howard J Gartland, PHD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 557 N Washington St, Janesville, WI 53548 Phone: 608-754-6000 Fax: 608-755-7892 | |
Mark E Lanser, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8943 | |
Amy M Connell, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1717 Center Ave Ste 260, Janesville, WI 53546 Phone: 608-743-2258 Fax: 608-757-5858 | |
Thomas R Berentsen, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8008 | |
Dr. Sue Ann Callison, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 903 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-5555 |