Dr Maureen A Kidd, MD | |
1619 N Stoughton Rd, Madison, WI 53704-2603 | |
(608) 244-1213 | |
Not Available |
Full Name | Dr Maureen A Kidd |
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Gender | Female |
Speciality | Surgery |
Location | 1619 N Stoughton Rd, 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 |
---|---|---|---|
1811912488 | NPI | - | NPPES |
1811912488 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 50325-020 (Wisconsin) | Primary |
Entity Name | Prairie Ridge Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154403657 PECOS PAC ID: 6800791484 Enrollment ID: O20040210000777 |
Mailing Address | Practice Location Address |
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Dr Maureen A Kidd, MD 1619 N Stoughton Rd, Madison, WI 53704-2603 Ph: (608) 244-1213 | Dr Maureen A Kidd, MD 1619 N Stoughton Rd, Madison, WI 53704-2603 Ph: (608) 244-1213 |
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 |