Earl Anderson, MD | |
710 Riverside Dr, Waupaca, WI 54981-1941 | |
(715) 258-1160 | |
(715) 256-3079 |
Full Name | Earl Anderson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 710 Riverside Dr, Waupaca, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942220058 | NPI | - | NPPES |
000169010 | Other | WI | MEDICARE PTAN |
30834600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 26741 (Wisconsin) | Primary |
Entity Name | Thedacare, Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
Mailing Address | Practice Location Address |
---|---|
Earl Anderson, MD 710 Riverside Dr, Waupaca, WI 54981-1941 Ph: (920) 256-3000 | Earl Anderson, MD 710 Riverside Dr, Waupaca, WI 54981-1941 Ph: (715) 258-1160 |
Dr. Gert Hasselhof, MD Family Medicine Medicare: Medicare Enrolled Practice Location: N2437 E Miner Dr, Waupaca, WI 54981 Phone: 608-475-0328 Fax: 715-256-5452 | |
Ashley Tardieu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000 Fax: 715-256-3079 | |
Sarah C Durst, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1160 Fax: 915-756-3079 | |
Dorrie Marie Happ, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3062 Fax: 715-256-3079 | |
Molly Ann Szymanski, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000 | |
Amy Nicole Mandeville, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000 | |
Patty Kile, Family Medicine Medicare: Medicare Enrolled Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1160 |