Dr Jeffrey Lemoine Dunham, MD | |
113 4th Avenue, Shell Lake, WI 54871 | |
(715) 468-7833 | |
(715) 468-7839 |
Full Name | Dr Jeffrey Lemoine Dunham |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 38 Years |
Location | 113 4th Avenue, Shell Lake, 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 |
---|---|---|---|
1841295862 | NPI | - | NPPES |
31592800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 30726 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Indianhead Medical Ctr Hha | Shell lake, WI | Home health agency |
Regional Hospice Services | Ashland, WI | Hospice |
Lakeview Medical Ctr Hospice | Rice lake, WI | Hospice |
Indianhead Medical Ctr | Shell lake, WI | Hospital |
North Memorial Health | Robbinsdale, MN | Hospital |
Shell Lake Health Care Center | Shell lake, WI | Nursing home |
Maple Ridge Care Center | Spooner, WI | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Indianhead Medical Center Shell Lake, Inc. | 6406748839 | 7 |
Entity Name | Indianhead Medical Center Shell Lake, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053859058 PECOS PAC ID: 6406748839 Enrollment ID: O20170331000695 |
Mailing Address | Practice Location Address |
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Dr Jeffrey Lemoine Dunham, MD 113 4th Avenue, Shell Lake, WI 54871 Ph: (715) 468-7833 | Dr Jeffrey Lemoine Dunham, MD 113 4th Avenue, Shell Lake, WI 54871 Ph: (715) 468-7833 |
Dr. Allan Jay Haesemeyer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 113 4th Avenue, Shell Lake, WI 54871 Phone: 715-468-7833 Fax: 715-468-7839 |