Mr Kim J Pansegrau, DDS MD | |
7007 Old Sauk Rd, Madison, WI 53717-2307 | |
(608) 833-2060 | |
(608) 833-1737 |
Full Name | Mr Kim J Pansegrau |
---|---|
Gender | Male |
Speciality | Oral Surgery |
Experience | 28 Years |
Location | 7007 Old Sauk Rd, Madison, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518990167 | NPI | - | NPPES |
33755700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5144015 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Wi Hospitals & Clinics Authority | Madison, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Center For Oral And Maxillofacial Surgery Sc | 5294830451 | 5 |
Entity Name | Center For Oral & Maxillofacial Surgery Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710900808 PECOS PAC ID: 5294830451 Enrollment ID: O20070417000195 |
Mailing Address | Practice Location Address |
---|---|
Mr Kim J Pansegrau, DDS MD 3296 Saracen Way, Verona, WI 53593-8010 Ph: (608) 821-0289 | Mr Kim J Pansegrau, DDS MD 7007 Old Sauk Rd, Madison, WI 53717-2307 Ph: (608) 833-2060 |
Dr. Lacrima M Goldberg, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 826 Atlas Ave, Madison, WI 53714 Phone: 954-309-5786 | |
Nitin Walia, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7866 Mineral Point Rd, Madison, WI 53717 Phone: 608-422-4746 | |
Jennifer E Bergstrom, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 413 W Washington Ave, Madison, WI 53703 Phone: 608-251-8790 Fax: 608-251-0242 | |
Dr. Michael John Kosovec, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2010 Eastwood Dr, Suite 206, Madison, WI 53704 Phone: 608-241-1579 Fax: 608-241-2061 | |
David Black, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2500 Overlook Ter, Madison, Madison, WI 53705 Phone: 608-280-7035 Fax: 608-280-7211 | |
Paige Peters, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4226 Milwaukee St, Madison, WI 53714 Phone: 563-564-7253 | |
Dr. Tanner J. Mckenna, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1410 Northport Dr, Madison, WI 53704 Phone: 608-244-3410 Fax: 608-244-1915 |