| Lilia Caamano Mendoza, | |
|
265 Griffin St E, Amery, WI 54001-1439 | |
| (715) 268-8000 | |
| Not Available |
| Full Name | Lilia Caamano Mendoza |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 265 Griffin St E, Amery, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033890439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 16039 (Wisconsin) | Primary |
| Entity Name | Hudson Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396849303 PECOS PAC ID: 0648183061 Enrollment ID: O20040115000507 |
| Entity Name | Amery Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093763518 PECOS PAC ID: 2769391960 Enrollment ID: O20040131000207 |
| Entity Name | Baldwin Area Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467496133 PECOS PAC ID: 7911800586 Enrollment ID: O20040310000505 |
| Entity Name | Westfields Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881640183 PECOS PAC ID: 2264490960 Enrollment ID: O20090122000350 |
| Mailing Address | Practice Location Address |
|---|---|
| Lilia Caamano Mendoza, 219 N Midvale Blvd Apt A, Madison, WI 53705-5049 Ph: (608) 438-4624 | Lilia Caamano Mendoza, 265 Griffin St E, Amery, WI 54001-1439 Ph: (715) 268-8000 |
Jacob David Daigle, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 | |
Joseph Janka Putz, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 265 Griffin St E, Amery, WI 54001 Phone: 715-268-8000 |