Cristine L Cornelius, MD | |
150 E Jefferson St, Spring Green, WI 53588-8000 | |
(608) 588-7413 | |
(608) 588-7609 |
Full Name | Cristine L Cornelius |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 150 E Jefferson St, Spring Green, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710988464 | NPI | - | NPPES |
32400900 | Medicaid | WI | |
P00366791 | Other | WI | RAILROAD MEDICARE |
0852480001 | Other | WI | DMERC |
528513 | Other | WI | UGS MEDICARE |
528514 | Other | WI | UGS MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 39030 (Wisconsin) | Primary |
Entity Name | Richland Medical Center, Ltd. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932100690 PECOS PAC ID: 6305828906 Enrollment ID: O20040607000729 |
Entity Name | Richland Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659301273 PECOS PAC ID: 7618861618 Enrollment ID: O20110318000356 |
Mailing Address | Practice Location Address |
---|---|
Cristine L Cornelius, MD 301 E 2nd St, Richland Center, WI 53581-1900 Ph: (608) 647-6161 | Cristine L Cornelius, MD 150 E Jefferson St, Spring Green, WI 53588-8000 Ph: (608) 588-7413 |
Ellen L Olson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 436 Sunrise Dr, Spring Green, WI 53588 Phone: 608-588-2502 | |
Luke W Fortney, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 436 Sunrise Dr, Spring Green, WI 53588 Phone: 608-588-2502 | |
Kay M Balink, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 150 E Jefferson St, Spring Green, WI 53588 Phone: 608-588-7413 Fax: 608-588-7609 | |
Mark G Timmerman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 436 Sunrise Dr, Spring Green, WI 53588 Phone: 608-588-2502 Fax: 608-588-7724 | |
Dr. Kennith Miller, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 156 W Jefferson St, Spring Green, WI 53588 Phone: 608-588-2600 Fax: 608-588-2644 |