Dr Laeekha A Ali, MD | |
707 S University Ave, Beaver Dam, WI 53916-3027 | |
(920) 887-7181 | |
(920) 887-6833 |
Full Name | Dr Laeekha A Ali |
---|---|
Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 707 S University Ave, Beaver Dam, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245200427 | NPI | - | NPPES |
32510400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 28738 (Wisconsin) | Primary |
Entity Name | Marshfield Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
Entity Name | Beaver Dam Community Hospitals Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972188555 PECOS PAC ID: 2567370539 Enrollment ID: O20040210000666 |
Entity Name | Divine Savior Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
Mailing Address | Practice Location Address |
---|---|
Dr Laeekha A Ali, MD 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511 | Dr Laeekha A Ali, MD 707 S University Ave, Beaver Dam, WI 53916-3027 Ph: (920) 887-7181 |
Kathryn M Swartz, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-887-7181 Fax: 920-887-6833 |