Dale T Bertram, MD | |
611 Honey Bear Ct, Waupaca, WI 54981-1071 | |
(608) 516-9278 | |
Not Available |
Full Name | Dale T Bertram |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 611 Honey Bear Ct, Waupaca, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871550970 | NPI | - | NPPES |
30688500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | 25540 (Wisconsin) | Primary |
Entity Name | Thedacare Medical Center - Wild Rose, Inc. |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1043263999 PECOS PAC ID: 6507840923 Enrollment ID: O20070305000280 |
Mailing Address | Practice Location Address |
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Dale T Bertram, MD 611 Honey Bear Ct, Waupaca, WI 54981-1071 Ph: () - | Dale T Bertram, MD 611 Honey Bear Ct, Waupaca, WI 54981-1071 Ph: (608) 516-9278 |
Dr. Logan Robert Gorges, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 Fax: 715-258-1042 | |
Dr. Amy T Kenworthy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 | |
Francesca L Detrana, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 Fax: 715-258-1632 | |
Dr. Spencer Wolf Greaves, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 | |
Dr. Matthew Paul Nelson, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 | |
Dr. Dennis D Ford, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 | |
Dr. Charles Conger, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1041 |