Koti R Mannem (NPI# 1720188717, PAC ID# 7911964200) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1720188717 |
| PAC ID by PECOS | 7911964200 |
| Professional Enrollment ID | I20041218000041 |
| Full Name | Koti R Mannem |
| Address |
705 E Timber Dr Rhinelander WI 54501-2859 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1974 |
| Primary Specialty | PSYCHIATRY |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520049 | BELLIN MEMORIAL HOSPITAL |
| 520019 | MINISTRY SAINT MARYS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3150 Gershwin Dr, Green Bay, WI 54311-4328 | 9203914700 | COUNTY OF BROWN |
| 705 E Timber Dr, Rhinelander, WI 54501-2859 |
| Street Address |
705 E TIMBER DR |
| City | RHINELANDER |
| State | WI |
| Zip | 54501-2859 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allen Craig Orth | Chiropractic | 1818 N Stevens St, Rhinelander, WI 54501-2129 | |
| David C Barr | Chiropractic | 1404 N Stevens St, Rhinelander, WI 54501-2225 | |
| Jennifer L Svencer | Physician Assistant | Ascension Medical Group-northern Wisconsin, Inc | 444 E Timber Dr, Rhinelander, WI 54501-2852 |
| Kent J Lowry | Orthopedic Surgery | Ascension Medical Group-northern Wisconsin, Inc | 444 E Timber Dr, Rhinelander, WI 54501-2852 |
| Bonnie Claire Thorsen | Physician Assistant | Ascension Medical Group-northern Wisconsin, Inc | 444 E Timber Dr, Rhinelander, WI 54501-2852 |
| Benjamin D Brusch | Sports Medicine | Ascension Medical Group-northern Wisconsin, Inc | 444 E Timber Dr, Rhinelander, WI 54501-2852 |
| Ann M Chizek Liermann | Nurse Practitioner | Ascension Medical Group-northern Wisconsin, Inc | 444 E Timber Dr, Rhinelander, WI 54501-2852 |
| William R. Padgett | Orthopedic Surgery | Ascension Medical Group-northern Wisconsin, Inc | 444 E Timber Dr, Rhinelander, WI 54501-2852 |
| Robert J Aylesworth | Dermatology | Aylesworth Dermatology Sc | 550 E Timber Dr, Rhinelander, WI 54501-2894 |
| Stephanie Renee Keller | Physician Assistant | Aylesworth Dermatology Sc | 550 E Timber Dr, Rhinelander, WI 54501-2894 |
| Find all physicians in zip 54501 | |||
| City | RHINELANDER |
| Zip Code | 54501 |
| Specialty | PSYCHIATRY |
| City + Specialty | RHINELANDER + PSYCHIATRY |
Please comment or provide details below to improve the information on Koti R Mannem.
| 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.