| Renata M Jenkin, MD | |
|
1000 N Oak Ave, Marshfield, WI 54449-5703 | |
| (715) 387-5511 | |
| Not Available |
| Full Name | Renata M Jenkin |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 37 Years |
| Location | 1000 N Oak Ave, Marshfield, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700848462 | NPI | - | NPPES |
| 1700848462 | Medicaid | WA | |
| 0296575 | Other | WA | L&I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 036148052 (Illinois) | Primary |
| 207N00000X | Dermatology | 87033 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Soderstrom Dermatology Center S C. | 2062432651 | 33 |
| Entity Name | Dermatology Partners Of The North Shore Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114063591 PECOS PAC ID: 2264427251 Enrollment ID: O20040419000918 |
| Entity Name | Soderstrom Dermatology Center S C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710931670 PECOS PAC ID: 2062432651 Enrollment ID: O20051128000693 |
| Mailing Address | Practice Location Address |
|---|---|
| Renata M Jenkin, MD 1919 Kingsbrook Ct, Wheaton, IL 60187-3199 Ph: (425) 445-1112 | Renata M Jenkin, MD 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511 |
Dr. Maggie Colleen Moses, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5511 | |
Donald Miech, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-5311 | |
Ann C Smith, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-9215 | |
Ellen M Gordon, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-9269 | |
Erik J Stratman, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-9217 | |
Stella Frunza Patten, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1000 N Oak Ave, Marshfield, WI 54449 Phone: 715-387-9460 |