| Mr Dean Louis Martinelli, MD | |
|
888 Thackeray Trail, Suite 108, Oconomowoc, WI 53066 | |
| (262) 567-0505 | |
| (262) 567-0778 |
| Full Name | Mr Dean Louis Martinelli |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 888 Thackeray Trail, Oconomowoc, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932174117 | NPI | - | NPPES |
| 30179100 | Medicaid | WI | |
| 588 | Other | WI | DEAN HEALTH PLAN |
| 1004202 | Other | WI | PHYSICIANS PLUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 18169 (Wisconsin) | Primary |
| Entity Name | Central Otologic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295700565 PECOS PAC ID: 0547243800 Enrollment ID: O20040609000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Dean Louis Martinelli, MD 888 Thackeray Trail, Suite 108, Oconomowoc, WI 53066 Ph: (262) 567-0505 | Mr Dean Louis Martinelli, MD 888 Thackeray Trail, Suite 108, Oconomowoc, WI 53066 Ph: (262) 567-0505 |
Mr. Michael Charles Janowak, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 888 Thackeray Trl, Ste 108, Oconomowoc, WI 53066 Phone: 262-567-0505 Fax: 262-567-0778 | |
Dr. Donald S. Blatnik, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 4555 Hewitts Point Rd, Oconomowoc, WI 53066 Phone: 262-649-4381 | |
Dr. Mark W Flick, DO Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 915 Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-2300 Fax: 262-569-2266 |