Maria Luisa B Baldomero (NPI# 1639239486, PAC ID# 4082604871) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1639239486 |
| PAC ID by PECOS | 4082604871 |
| Professional Enrollment ID | I20040513001416 |
| Full Name | Maria Luisa B Baldomero |
| Organization Legal Name | COUNTY OF GREEN LAKE |
| Address |
571 County Rd A Green Lake WI 54941-8630 |
| Phone Number | 9202944070 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1990 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 6507881265 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 320 S Walnut St, Appleton, WI 54911-5918 | 9208321624 | COUNTY OF OUTAGAMIE |
| 571 County Rd A, Green Lake, WI 54941-8630 | 9202944070 | COUNTY OF GREEN LAKE |
| Organization Legal Name | COUNTY OF GREEN LAKE |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica A Bowman | Clinical Social Worker | County of Green Lake | 571 County Rd A, Green Lake, WI 54941-8630 |
| Sara R Rhode | Clinical Social Worker | County of Green Lake | 571 County Rd A, Green Lake, WI 54941-8630 |
| Shirley J Dawson | Psychiatry | County of Green Lake | 571 County Rd A, Green Lake, WI 54941-8630 |
| Street Address |
571 COUNTY RD A |
| City | GREEN LAKE |
| State | WI |
| Zip | 54941-8630 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica A Bowman | Clinical Social Worker | County of Green Lake | 571 County Rd A, Green Lake, WI 54941-8630 |
| Sara R Rhode | Clinical Social Worker | County of Green Lake | 571 County Rd A, Green Lake, WI 54941-8630 |
| Shirley J Dawson | Psychiatry | County of Green Lake | 571 County Rd A, Green Lake, WI 54941-8630 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas R Willett | Family Practice | N6205 Busse Rd, Green Lake, WI 54941-8505 | |
| Jennifer L Kohnke | Nurse Practitioner | Thedacare Incorporated | 670 Country Rd A, Green Lake, WI 54941-8608 |
| Trina M Hernandez | Nurse Practitioner | Thedacare Incorporated | 670 Country Rd A, Green Lake, WI 54941-8608 |
| Sandra L Schwoerer | Nurse Practitioner | Thedacare Incorporated | 670 Country Rd A, Green Lake, WI 54941-8608 |
| Colleen A Pomplun | Chiropractic | Chiroplus Complimentary Health Care Center LLC | 505 Lake St, Green Lake, WI 54941-8820 |
| Amanda M Oberc | Chiropractic | Chiroplus Complimentary Health Care Center LLC | 505 Lake St, Green Lake, WI 54941-8820 |
| City | GREEN LAKE |
| Zip Code | 54941 |
| Specialty | PSYCHIATRY |
| City + Specialty | GREEN LAKE + PSYCHIATRY |
Please comment or provide details below to improve the information on Maria Luisa B Baldomero.
| 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.