Dr Mario R Powell, MD in Grafton, WI - Pediatrics

Dr Mario R Powell, MD is a Pediatrics - Neonatal-perinatal Medicine physician based in Grafton, Wisconsin. Dr Mario R Powell is licensed to practice in Wisconsin (license number 46494) and his current practice location is 975 Port Washington Rd, Division Of Neonatology, Grafton, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (262) 329-1000.

NPI number for Dr Mario R Powell is 1609828391 and his current mailing address is 975 Port Washington Rd, Division Of Neonatology, Grafton, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609828391.

Contact Information

	Dr Mario R Powell, MD
	975 Port Washington Rd, Division Of Neonatology, Grafton, WI 53024-9201
	(262) 329-1000
	Not Available

Physician's Profile

Full Name	Dr Mario R Powell
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	975 Port Washington Rd, Grafton, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1609828391
Provider Enumeration Date: 05/17/2006
Last Update Date: 09/17/2019

Medical Identifiers

Medical identifiers for Dr Mario R Powell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609828391	NPI	-	NPPES
008906261V	Other		HUMANA
1609828391	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	46494 (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 Mario R Powell 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 Mario R Powell, MD 975 Port Washington Rd, Division Of Neonatology, Grafton, WI 53024-9201 Ph: (262) 329-1000	Dr Mario R Powell, MD 975 Port Washington Rd, Division Of Neonatology, Grafton, WI 53024-9201 Ph: (262) 329-1000

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Pediatrics Doctors in Grafton, WI

Maren Elizabeth Miller, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 215 Washington St, Grafton, WI 53024 Phone: 262-375-3700 Fax: 262-376-6020
Sarah Lyne Godbert Gaethke, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 215 Washington St, Grafton, WI 53024 Phone: 262-375-3700
Thomas B Chatton, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 215 W Washington St, Grafton, WI 53024 Phone: 262-375-3700 Fax: 262-376-6020
Kevin B Scammell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 215 W Washington Street, Grafton, WI 53024 Phone: 262-375-3700 Fax: 262-376-6020

Dr Mario R Powell, MD - Pediatrics in Grafton, WI