M Jerry Z Mariano (NPI# 1376582908, PAC ID# 3375526411) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1376582908 |
| PAC ID by PECOS | 3375526411 |
| Professional Enrollment ID | I20040610001187 |
| Full Name | M Jerry Z Mariano |
| Organization Legal Name | JOHN L BONNER EYE CLINIC LTD |
| Address |
1542 Golf Course Rd Suite 201 Grand Rapids MN 55744-3537 |
| Phone Number | 2183263433 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 0547243677 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240040 | UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744-3537 | 2183263433 | JOHN L BONNER EYE CLINIC LTD |
| 3605 Mayfair Ave, Suite 2150, Hibbing, MN 55746-2938 | 2182623156 | JOHN L BONNER EYE CLINIC LTD |
| Organization Legal Name | JOHN L BONNER EYE CLINIC LTD |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Lynn Haugeberg | Optometry | John L Bonner Eye Clinic Ltd | 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744-3537 |
| Christine A Borgenheimer | Optometry | John L Bonner Eye Clinic Ltd | 3605 Mayfair Ave, Suite 2150, Hibbing, MN 55746-2938 |
| Michael Young | Optometry | John L Bonner Eye Clinic Ltd | 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744-3537 |
| Leroy T Kincannon Iii | Optometry | John L Bonner Eye Clinic Ltd | 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744-3537 |
| Street Address |
1542 GOLF COURSE RD SUITE 201 |
| City | GRAND RAPIDS |
| State | MN |
| Zip | 55744-3537 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary F Hunt | Physical Therapy | The Duluth Clinic Ltd | 1542 Golf Course Rd, Suite 204, Grand Rapids, MN 55744-3537 |
| Daniel Joseph Margo | General Surgery | 1542 Golf Course Rd, Suite 202, Grand Rapids, MN 55744-3557 | |
| Thomas J Witt | Family Medicine | Deer River Healthcare Center Inc | 1542 Golf Course Rd, Suite 202, Grand Rapids, MN 55744-3557 |
| Kelley L Jensen | Nurse Practitioner | The Duluth Clinic Ltd | 1542 Golf Course Rd, Suite 204, Grand Rapids, MN 55744-3537 |
| Elizabeth R Kohn | Family Medicine | Deer River Healthcare Center Inc | 1542 Golf Course Rd, Suite 203, Grand Rapids, MN 55744-3557 |
| Denise A Hove | Qualified Audiologist | The Duluth Clinic Ltd | 1542 Golf Course Rd, Suite 204, Grand Rapids, MN 55744-3537 |
| Amy Lynn Haugeberg | Optometry | John L Bonner Eye Clinic Ltd | 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744-3537 |
| Travis R Venner | Podiatry | The Duluth Clinic Ltd | 1542 Golf Course Rd, Suite 204, Grand Rapids, MN 55744-3537 |
| Karissa Marie Schultz | Nurse Practitioner | Deer River Healthcare Center Inc | 1542 Golf Course Rd, Suite 202, Grand Rapids, MN 55744-3557 |
| Michael Young | Optometry | John L Bonner Eye Clinic Ltd | 1542 Golf Course Rd, Suite 201, Grand Rapids, MN 55744-3537 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colin M Heglund | Psychologist, Clinical | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Amy M Mallum | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Kathryn J Faver | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Eric R Nance | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Kathleen A Rubesh | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Jennifer C Sheppard | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Donald M Farnsworth Jr. | Clinical Psychologist | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Lisa Jo Corradi | Clinical Social Worker | North Homes Inc. | 413 13th St Se, Grand Rapids, MN 55744-0015 |
| Lane N Gunnerson | Chiropractic | 1325 Nw 4th St, Suite 200, Grand Rapids, MN 55744-2270 | |
| Gary D Wheelock | Chiropractic | 605 Nw 4th St, Grand Rapids, MN 55744-2301 | |
| Find all physicians in zip 55744 | |||
| City | GRAND RAPIDS |
| Zip Code | 55744 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | GRAND RAPIDS + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on M Jerry Z Mariano.
| 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.