Dr Eileen Ruggles Smith, MD | |
4602 Eastpark Blvd, Madison, WI 53718-2002 | |
(608) 242-2888 | |
(608) 662-4482 |
Full Name | Dr Eileen Ruggles Smith |
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Gender | Female |
Speciality | Surgery |
Location | 4602 Eastpark Blvd, 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 |
---|---|---|---|
1194246314 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2019028864 (Missouri) | Secondary |
208600000X | Surgery | 83418 (Wisconsin) | Primary |
Entity Name | Washington University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134169568 PECOS PAC ID: 9830008770 Enrollment ID: O20040317000959 |
Mailing Address | Practice Location Address |
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Dr Eileen Ruggles Smith, MD 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () - | Dr Eileen Ruggles Smith, MD 4602 Eastpark Blvd, Madison, WI 53718-2002 Ph: (608) 242-2888 |
Haggi Mazeh, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-265-8072 Fax: 608-265-9695 | |
Dr. Ekaterina Fedorova, MD Surgery Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-1384 | |
Ruben Ngnitwew Massa A, MD Surgery Medicare: Medicare Enrolled Practice Location: 4221 Owl Creek Dr, Madison, WI 53718 Phone: 913-980-3405 | |
Faith Dickerson, MD Surgery Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400 | |
Dr. Wardah Rafaqat, M.B.B.S. Surgery Medicare: Not Enrolled in Medicare Practice Location: 749 University Row Ste 200, Madison, WI 53705 Phone: 608-263-6400 | |
Bruce A Harms, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-7502 Fax: 608-265-5530 | |
Dr. Clara Emilia Angeles, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-890-0554 |