| 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 |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Marys Hospital | Rhinelander, WI | Hospital |
| Howard Young Medical Center | Woodruff, WI | Hospital |
| Ascension Sacred Heart Hospital | Tomahawk, WI | Hospital |
| Ascension Eagle River Hospital | Eagle river, WI | Hospital |
| Aspirus Iron River Hospital & Clinics, Inc | Iron river, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin | 1557271202 | 90 |
| Aspirus Iron River Hospital And Clinics Inc | 5294648929 | 46 |
| Aspirus Keweenaw | 8123912011 | 113 |
| Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc. | 9335059856 | 545 |
| Aspirus Ironwood Hospital And Clinics Inc | 9032013198 | 158 |
| Entity Name | Aspirus Rhinelander & Tomahawk Hospitals & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144991340 PECOS PAC ID: 9335059856 Enrollment ID: O20031126000706 |
| Entity Name | Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831251040 PECOS PAC ID: 1557271202 Enrollment ID: O20040212000310 |
| Entity Name | Divine Savior Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
| Entity Name | Aspirus Merrill Hospital & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124084678 PECOS PAC ID: 0143117556 Enrollment ID: O20040301001179 |
| Entity Name | Howard Young Medical Center Inc Of Woodruff Wisconsin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184673352 PECOS PAC ID: 4183519606 Enrollment ID: O20040419000970 |
| Entity Name | Aspirus Eagle River Hospital & Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346204385 PECOS PAC ID: 1658361951 Enrollment ID: O20040518000233 |
| 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: Accepting Medicare Assignments Practice Location: 1115 S Hemlock St, Suite 3, Iron Mountain, MI 49801 Phone: 906-282-8500 Fax: 906-282-8500 |