Dr Manuel L Vivero, MD in Delavan, WI - Pediatrics

Dr Manuel L Vivero, MD is a Pediatrics physician based in Delavan, Wisconsin. Dr Manuel L Vivero is licensed to practice in Wisconsin (license number 34182) and his current practice location is 1550 Hobbs Dr, Delavan, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (262) 740-4200.

NPI number for Dr Manuel L Vivero is 1568579597 and his current mailing address is 3301 W Forest Home Ave, Milwaukee, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568579597.

Contact Information

	Dr Manuel L Vivero, MD
	1550 Hobbs Dr, Delavan, WI 53115
	(262) 740-4200
	(262) 740-4239

Physician's Profile

Full Name	Dr Manuel L Vivero
Gender	Male
Speciality	Pediatrics
Location	1550 Hobbs Dr, Delavan, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1568579597
Provider Enumeration Date: 08/24/2006
Last Update Date: 03/07/2023

Medical Identifiers

Medical identifiers for Dr Manuel L Vivero such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568579597	NPI	-	NPPES
31922800	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	34182 (Wisconsin)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Manuel L Vivero is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Manuel L Vivero, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (414) 647-6326	Dr Manuel L Vivero, MD 1550 Hobbs Dr, Delavan, WI 53115 Ph: (262) 740-4200

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Pediatrics Doctors in Delavan, WI

Dr. Roberta Ashby, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1550 Hobbs Dr, Delavan, WI 53115
Phone: 262-740-4200 Fax: 262-740-4239

Dr Manuel L Vivero, MD - Pediatrics in Delavan, WI