| Mr Louis Joseph Mautone, DO | |
|
1721 S Stephenson Ave, Iron Mountain, MI 49801 | |
| (906) 776-5565 | |
| Not Available |
| Full Name | Mr Louis Joseph Mautone |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 28 Years |
| Location | 1721 S Stephenson Ave, Iron Mountain, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144294513 | NPI | - | NPPES |
| 4542481 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | LM015642 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aspirus Iron River Hospital And Clinics Inc | 5294648929 | 24 |
| Aspirus Keweenaw | 8123912011 | 74 |
| Aspirus Ironwood Hospital And Clinics Inc | 9032013198 | 79 |
| Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin | 1557271202 | 60 |
| Aspirus Rhinelander And Tomahawk Hospitals And Clinics Inc | 9335059856 | 343 |
| Entity Name | Aspirus Iron River Hospital & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497750830 PECOS PAC ID: 5294648929 Enrollment ID: O20031110000264 |
| Entity Name | Aspirus Ironwood Hospital & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992704753 PECOS PAC ID: 9032013198 Enrollment ID: O20031121000096 |
| Entity Name | Aspirus Keweenaw |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205998713 PECOS PAC ID: 8123912011 Enrollment ID: O20040211000763 |
| Entity Name | Radiology Associates Of Iron Mountain P L C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154400935 PECOS PAC ID: 5193619690 Enrollment ID: O20040213000168 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Louis Joseph Mautone, DO Po Box 668, Iron Mountain, MI 49801 Ph: (906) 779-9870 | Mr Louis Joseph Mautone, DO 1721 S Stephenson Ave, Iron Mountain, MI 49801 Ph: (906) 776-5565 |
Mr. Bayani Loy Manzano, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1721 S Stephenson Ave, Iron Mountain, MI 49801 Phone: 906-776-5565 | |
Dr. David Donald Timm, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1721 S Stephenson Ave, Iron Mountain, MI 49801 Phone: 906-774-1313 | |
Dr. Dale Roger Shampo, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1721 S Stephenson Ave, Iron Mountain, MI 49801 Phone: 906-774-1313 | |
Mr. John Stuart To, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1721 S Stephenson Ave, Iron Mountain, MI 49801 Phone: 906-776-5565 | |
Robyne D Camana, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1721 S Stephenson Ave, Iron Mountain, MI 49801 Phone: 906-776-5565 | |
Mrs. Emma Cristina Diponio, MD Radiology Medicare: Medicare Enrolled Practice Location: 1115 S Hemlock St, Suite 3, Iron Mountain, MI 49801 Phone: 906-282-8500 Fax: 906-282-8500 |