Benjamin O Blagogee, MD | |
1821 S Stoughton Rd, Madison, WI 53716-2257 | |
(608) 260-6000 | |
(608) 260-6980 |
Full Name | Benjamin O Blagogee |
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Gender | Male |
Speciality | Preventive Medicine - Occupational Medicine |
Location | 1821 S Stoughton Rd, Madison, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093970220 | NPI | - | NPPES |
1093970220 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2083X0100X | Preventive Medicine - Occupational Medicine | 52905-20 (Wisconsin) | Primary |
Entity Name | Dean Health Systems Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
Entity Name | Mercy Health System Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
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Benjamin O Blagogee, MD 1821 S Stoughton Rd, Madison, WI 53716-2257 Ph: (608) 260-6000 | Benjamin O Blagogee, MD 1821 S Stoughton Rd, Madison, WI 53716-2257 Ph: (608) 260-6000 |
Michael J. Bortoli, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1619 N Stoughton Rd, Madison, WI 53704 Phone: 615-778-4066 Fax: 615-778-9114 | |
Dr. Jui B Haker, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 752 N High Point Rd, Madison, WI 53717 Phone: 608-824-4000 Fax: 608-824-4918 | |
Mark C Moore, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1313 Fish Hatchery Rd, Dean Medical Center, Madison, WI 53715 Phone: 608-252-8000 Fax: 608-252-8245 | |
Alison S Wilmeth, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1313 Fish Hatchery Rd, Madison, WI 53715 Phone: 608-252-8000 Fax: 608-283-7120 | |
Diego A Tamez, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: Uw Hospitals & Clinics, 600 Highland Ave, Madison, WI 53792 Phone: 608-263-0572 | |
Henry Adolph Anderson Iii, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Lakewood Blvd, Madison, WI 53704 Phone: 608-241-1227 |