Dr Clarence W Brown Jr, MD | |
1836 South Ave, La Crosse, WI 54601-5429 | |
(608) 782-7300 | |
Not Available |
Full Name | Dr Clarence W Brown Jr |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 29 Years |
Location | 1836 South Ave, La Crosse, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386654390 | NPI | - | NPPES |
0360963803 | Medicaid | IL | |
1386654390 | Medicaid | MI | |
911779986 | Other | IL | TAX ID |
Facility Name | Location | Facility Type |
---|---|---|
Gundersen Lutheran Medical Center | La crosse, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gundersen Lutheran Medical Center Inc | 2163331414 | 789 |
United Skin Specialists Ltd | 0446558993 | 10 |
Entity Name | Gundersen Lutheran Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
Mailing Address | Practice Location Address |
---|---|
Dr Clarence W Brown Jr, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Dr Clarence W Brown Jr, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
Martin Raymond Dittmer, MD Dermatology Medicare: Medicare Enrolled Practice Location: 700 West Avenue S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Kurt K Mueller, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Dr. Amy Wentland, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Darius E Wampler, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
James D Hogan, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Malina Yamashita Peterson, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |