Mary Beth Reynoso (NPI# 1295165280, PAC ID# 0749587194) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1295165280 |
| PAC ID by PECOS | 0749587194 |
| Professional Enrollment ID | I20160330000211 |
| Full Name | Mary Beth Reynoso |
| Organization Legal Name | HOLY FAMILY MEMORIAL INC |
| Address |
339 Reed Ave Manitowoc WI 54220-2020 |
| Phone Number | 9203208600 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 0648183160 |
| Number of Group Practice Members | 94 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520107 | HOLY FAMILY MEMORIAL |
| Address | Phone | Organization |
|---|---|---|
| 339 Reed Ave, Manitowoc, WI 54220-2020 | 9203208600 | HOLY FAMILY MEMORIAL INC |
| Organization Legal Name | HOLY FAMILY MEMORIAL INC |
| Physicians | 104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda L Stallbaum | Nurse Practitioner | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Melissa Koss | Nurse Practitioner | Holy Family Memorial Inc | 1635 S 21st St, Manitowoc, WI 54220-6380 |
| Andrea D Gransee | Nurse Practitioner | Holy Family Memorial Inc | 1650 S 41st St, Manitowoc, WI 54220-7316 |
| David E Augustine | Family Medicine | Holy Family Memorial Inc | 1235 S 24th St, Manitowoc, WI 54220-5516 |
| Barbara L Heilman | Nurse Practitioner | Holy Family Memorial Inc | 3310 45th St, Two Rivers, WI 54241-1049 |
| Jennifer L Paltzer | Obstetrics/gynecology | Holy Family Memorial Inc | 600 York St, Suite 9, Manitowoc, WI 54220-6845 |
| Rebecca Reim | Family Medicine | Holy Family Memorial Inc | 2300 Western Ave, Manitowoc, WI 54220-3712 |
| Vladimir N Swerchowsky | Interventional Cardiology | Holy Family Memorial Inc | 4303 Michigan Ave, Manitowoc, WI 54220-3066 |
| Robert Bivins | Family Medicine | Holy Family Memorial Inc | 1650 S 41st St, Manitowoc, WI 54220-7316 |
| Veronica Mcfarlane | Nurse Practitioner | Holy Family Memorial Inc | 2300 Western Ave, Manitowoc, WI 54220-3712 |
| Street Address |
339 REED AVE |
| City | MANITOWOC |
| State | WI |
| Zip | 54220-2020 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda L Stallbaum | Nurse Practitioner | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Glenda A Mcconnell | Nurse Practitioner | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Mylan Kohler | Psychiatry | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Callie Schroeder | Psychologist, Clinical | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Cameron A Goetz | Psychologist, Clinical | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Ellen A Rylander | Clinical Social Worker | Holy Family Memorial Inc | 339 Reed Ave, Manitowoc, WI 54220-2020 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua J Heimerl | Chiropractic | 1632 N 18th St, Manitowoc, WI 54220-1858 | |
| Joanna M Smogoleski | Nurse Practitioner | Aurora Medical Group Inc | 601 Reed Ave, Manitowoc, WI 54220-2026 |
| Amber M Schmitz | Nurse Practitioner | Aurora Medical Group Inc | 601 Reed Ave, Manitowoc, WI 54220-2026 |
| Anne M Neeb | Nurse Practitioner | Aurora Medical Group Inc | 601 Reed Ave, Manitowoc, WI 54220-2026 |
| Thomas E Brooks | Nurse Practitioner | Aurora Medical Group Inc | 601 Reed Ave, Manitowoc, WI 54220-2026 |
| Ronald J Linzmeier | Chiropractic | 210 E Reed Ave, Manitowoc, WI 54220-2121 | |
| Mark L Herring | Internal Medicine | 1355 Johnston Dr, Manitowoc, WI 54220-2131 | |
| Raymond Mack | Physical Therapy | Athletic and Therapeutic Institute of Milwaukee, LLC | 1212 Memorial Dr, Suite 120, Manitowoc, WI 54220-2247 |
| Kimberly A Ridl | General Surgery | 940 Maritime Dr, Suite 4, Manitowoc, WI 54220-2960 | |
| Vladimir N Swerchowsky | Interventional Cardiology | Holy Family Memorial Inc | 4303 Michigan Ave, Manitowoc, WI 54220-3066 |
| Find all physicians in zip 54220 | |||
| City | MANITOWOC |
| Zip Code | 54220 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | MANITOWOC + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.