Dr Mary Patricia Eldridge, MD is a
General Practice physician based in Kenosha, Wisconsin. Dr Mary Patricia Eldridge is licensed to practice in Wisconsin (license number 54685-20) and her current practice location is 1400 75th St, Suite #5, Kenosha, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 656-1911.
NPI number for Dr Mary Patricia Eldridge is 1063673903 and her current mailing address is 1400 75th St, Suite #5, Kenosha, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063673903.
Physician's Profile
Full Name | Dr Mary Patricia Eldridge |
---|
Gender | Female |
---|
Speciality | General Practice |
---|
Location | 1400 75th St, Kenosha, Wisconsin |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063673903
- Provider Enumeration Date: 06/23/2008
- Last Update Date: 09/19/2015
Medical Identifiers
Medical identifiers for Dr Mary Patricia Eldridge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063673903 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 54685-20 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mary Patricia Eldridge is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Mary Patricia Eldridge, MD 1400 75th St, Suite #5, Kenosha, WI 53143-1544 Ph: (262) 656-1911 | Dr Mary Patricia Eldridge, MD 1400 75th St, Suite #5, Kenosha, WI 53143-1544 Ph: (262) 656-1911 |
Reviews and Comments