| Stephen L Merrill, MD | |
|
3524 E Milwaukee St, Janesville, WI 53546-1626 | |
| (608) 756-7100 | |
| (608) 756-4700 |
| Full Name | Stephen L Merrill |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 3524 E Milwaukee St, 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 |
|---|---|---|---|
| 1144246489 | NPI | - | NPPES |
| 215652 | Other | MEDICARE GROUP # | |
| MERRISTE | Other | WI | MERCYCARE INSURANCE |
| 036049241 | Medicaid | IL | |
| 553180 | Other | MEDICARE # | |
| 553180 | Other | IL | MEDICARE GROUP |
| P00612688CD3624 | Other | WI | RR MEDICARE |
| 834340 | Other | MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 036049241 (Illinois) | Primary |
| 207Q00000X | Family Medicine | 036049241 (Illinois) | Secondary |
| 207Q00000X | Family Medicine | 51728 (Wisconsin) | Secondary |
| 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: O20031111000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen L Merrill, MD 3524 E Milwaukee St, Janesville, WI 53546-1626 Ph: (608) 756-7100 | Stephen L Merrill, MD 3524 E Milwaukee St, Janesville, WI 53546-1626 Ph: (608) 756-7100 |
Michael J. Hartmann, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6111 Fax: 608-756-6177 | |
Dr. Michael V Coogan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6000 | |
Sean William Marquis, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6611 Fax: 608-756-6177 | |
Dr. Benjamin Michael Wilkinson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6868 | |
Dr. Karl A Nibbelink, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6611 | |
Christopher M. Koenig, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6611 Fax: 608-756-6177 | |
Dr. Martin Fedko, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6611 Fax: 608-756-6177 |