Elizabeth Trudy Camenga, MD | |
3811 Spring St Ste 102, Mount Pleasant, WI 53405-1667 | |
(262) 687-5800 | |
(262) 687-6261 |
Full Name | Elizabeth Trudy Camenga |
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Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 3811 Spring St Ste 102, Mount Pleasant, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396234787 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 73884-20 (Wisconsin) | Primary |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Trudy Camenga, MD 3811 Spring St Ste 102, Mount Pleasant, WI 53405-1667 Ph: (262) 687-5800 | Elizabeth Trudy Camenga, MD 3811 Spring St Ste 102, Mount Pleasant, WI 53405-1667 Ph: (262) 687-5800 |
Jacob Steven Clearfield, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3811 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-6262 Fax: 262-687-6261 | |
Alison Scott, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 7300 Washington Ave Ste B, Mount Pleasant, WI 53406 Phone: 262-321-6000 |