Timothy W Lineberry, MD | |
1881 Chicago St, De Pere, WI 54115-3770 | |
(920) 403-8000 | |
(920) 403-8209 |
Full Name | Timothy W Lineberry |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1881 Chicago St, De Pere, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912984121 | NPI | - | NPPES |
363680100 | Medicaid | MN | |
35207500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 45572 (Minnesota) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 62869 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
---|---|
Timothy W Lineberry, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Timothy W Lineberry, MD 1881 Chicago St, De Pere, WI 54115-3770 Ph: (920) 403-8000 |
James Steven Price, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 | |
Dr. Matt Zak, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3860 Monroe Rd, De Pere, WI 54115 Phone: 920-496-4700 | |
Alice Zhang, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1881 Chicago St, De Pere, WI 54115 Phone: 920-278-1294 | |
Mylan Vaugeois Kohler, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1325 Angels Path, De Pere, WI 54115 Phone: 920-338-2855 Fax: 920-338-9270 | |
Vazhuvelil Namitha Menon, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1881 Chicago St, De Pere, WI 54115 Phone: 920-403-8000 | |
Dr. Howard W Davis, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1325 Angel's Path, De Pere, WI 54115 Phone: 920-338-2855 Fax: 920-338-9270 | |
Dr. John R Stamm, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1325 Angels Path Rd, De Pere, WI 54115 Phone: 920-338-2855 Fax: 920-338-9270 |