Bradley S Boettcher, MD | |
2031 Peach St, Wisconsin Rapids, WI 54494-5181 | |
(715) 423-0122 | |
Not Available |
Full Name | Bradley S Boettcher |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2031 Peach St, Wisconsin Rapids, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487666947 | NPI | - | NPPES |
31647300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 31272 (Wisconsin) | Primary |
Entity Name | Aspirus Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669595294 PECOS PAC ID: 1052223625 Enrollment ID: O20031103000267 |
Entity Name | Aspirus Wausau Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922321140 PECOS PAC ID: 6406757442 Enrollment ID: O20040114000297 |
Mailing Address | Practice Location Address |
---|---|
Bradley S Boettcher, MD 2031 Peach St, Wisconsin Rapids, WI 54494-5181 Ph: (715) 423-0122 | Bradley S Boettcher, MD 2031 Peach St, Wisconsin Rapids, WI 54494-5181 Ph: (715) 423-0122 |
Shee-chang Tang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2031 Peach St, Wisconsin Rapids, WI 54494 Phone: 715-423-0122 | |
Robert J Roenius, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2031 Peach St, Wisconsin Rapids, WI 54494 Phone: 715-423-0122 | |
Timothy K Huebner, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2031 Peach St, Wisconsin Rapids, WI 54494 Phone: 715-423-0122 | |
Fred A Perryman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2031 Peach St, Wisconsin Rapids, WI 54494 Phone: 715-423-0122 | |
Thomas E Ferk, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 Dewey St, Wisconsin Rapids, WI 54494 Phone: 715-422-7750 Fax: 715-422-7752 | |
Thomas A Voelker, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2031 Peach St, Wisconsin Rapids, WI 54494 Phone: 715-423-0122 |