Andrew Taylor Putney, MD | |
2901 Hunters Trl, Portage, WI 53901-3403 | |
(608) 742-5518 | |
(608) 742-4087 |
Full Name | Andrew Taylor Putney |
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Gender | Male |
Speciality | Family Medicine - Addiction Medicine |
Location | 2901 Hunters Trl, Portage, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1912973942 | NPI | - | NPPES |
Entity Name | Psychological Addiction Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881131761 PECOS PAC ID: 6800149592 Enrollment ID: O20181026000046 |
Mailing Address | Practice Location Address |
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Andrew Taylor Putney, MD Po Box 301, Portage, WI 53901-0301 Ph: () - | Andrew Taylor Putney, MD 2901 Hunters Trl, Portage, WI 53901-3403 Ph: (608) 742-5518 |
Kelly Coker, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-745-5145 | |
Richard J Qualy, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2977 County Hwy Cx, Portage, WI 53901 Phone: 608-742-3004 Fax: 608-742-2399 | |
Gerald L Krumpos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2825 Hunters Trl, Portage, WI 53901 Phone: 608-742-7161 Fax: 608-745-3060 | |
Dr. Jamie John Kling, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2977 County Hwy Cx, Portage, WI 53901 Phone: 608-742-3004 Fax: 608-742-2399 | |
Dr. Sarah M Haroldson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2825 Hunters Trl, Portage, WI 53901 Phone: 608-742-7161 Fax: 608-745-3990 | |
Dr. Vasilisa Mironovich, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 Fax: 608-745-6393 | |
David D Gregory, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2825 Hunters Trl, Portage, WI 53901 Phone: 608-724-7161 Fax: 608-745-3060 |