Dr Matthew J Bettendorf, MD | |
1615 Maple Lane, Ashland, WI 54806 | |
(715) 685-5510 | |
(715) 682-4022 |
Full Name | Dr Matthew J Bettendorf |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 22 Years |
Location | 1615 Maple Lane, Ashland, 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 |
---|---|---|---|
1932254729 | NPI | - | NPPES |
1932254729 | Medicaid | WI | |
1932254729 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 49280 (Minnesota) | Secondary |
208600000X | Surgery | 54097-20 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Medical Center | Ashland, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Medical Center Inc | 8022000447 | 38 |
Entity Name | Memorial Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437179231 PECOS PAC ID: 8022000447 Enrollment ID: O20040402000938 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew J Bettendorf, MD 1615 Maple Lane, Ashland, WI 54806 Ph: (715) 685-5510 | Dr Matthew J Bettendorf, MD 1615 Maple Lane, Ashland, WI 54806 Ph: (715) 685-5510 |
Charles Kendall Bertel, Surgery Medicare: Not Enrolled in Medicare Practice Location: 1615 Maple Ln Ste 1, Ashland, WI 54806 Phone: 715-685-7500 | |
James G Nibler, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 216 3rd St W, Ste 201, Ashland, WI 54806 Phone: 715-685-0656 Fax: 715-685-9326 | |
George A Fall, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 216 3rd St W, Suite 201, Ashland, WI 54806 Phone: 715-685-0656 Fax: 715-685-9326 |