Emerson Kendall, DO | |
525 E Main St Apt 306, Madison, WI 53703-2905 | |
(616) 560-4730 | |
Not Available |
Full Name | Emerson Kendall |
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Gender | Male |
Speciality | Ophthalmology |
Location | 525 E Main St Apt 306, 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 |
---|---|---|---|
1184282048 | NPI | - | NPPES |
5151013622 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 5151013622 (Michigan) | Secondary |
207W00000X | Ophthalmology | 81140 (Wisconsin) | Primary |
Entity Name | University Of Wisconsin Medical Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
Mailing Address | Practice Location Address |
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Emerson Kendall, DO 525 E Main St Apt 306, Madison, WI 53703-2905 Ph: (616) 560-4730 | Emerson Kendall, DO 525 E Main St Apt 306, Madison, WI 53703-2905 Ph: (616) 560-4730 |
Laura Jean Kopplin, MD, PHD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6070 | |
Dr. Roomasa Channa, MBBS Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2880 University Ave, Madison, WI 53705 Phone: 608-263-7171 | |
Heather Ad Potter, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2880 University Ave, Madison, WI 53705 Phone: 608-263-7171 Fax: 608-265-8060 | |
Andrew T Thliveris, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 22 Stone Crest Cir, Madison, WI 53717 Phone: 000-000-0000 | |
Barbara E K Klein, MD MPH Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 126 Forest St, Madison, WI 53726 Phone: 608-238-6830 | |
Yasmin Bradfield, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2880 University Ave, Madison, WI 53705 Phone: 608-263-7171 Fax: 608-265-8060 | |
Patricia C Sabb, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 780 Regent Street, Madison, WI 53715 Phone: 608-257-4286 Fax: 608-257-1608 |