Frederick Coleman, MD | |
802 E Gorham St, Madison, WI 53703-1524 | |
(608) 280-2700 | |
Not Available |
Full Name | Frederick Coleman |
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Gender | Male |
Speciality | General Practice |
Location | 802 E Gorham St, 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 |
---|---|---|---|
1760601777 | NPI | - | NPPES |
30237400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 19776 (Wisconsin) | Primary |
Entity Name | The Center For Christian Counseling Consultation And Training Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073703997 PECOS PAC ID: 4385530104 Enrollment ID: O20040226001001 |
Mailing Address | Practice Location Address |
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Frederick Coleman, MD 25 Kessel Ct Ste 105, Madison, WI 53711-6227 Ph: (608) 280-2700 | Frederick Coleman, MD 802 E Gorham St, Madison, WI 53703-1524 Ph: (608) 280-2700 |
Richard Lee Owens, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 1920 Monroe St, Madison, WI 53711 Phone: 608-251-6060 Fax: 608-251-3930 | |
Dr. Adam Haskins Page, MD General Practice Medicare: Medicare Enrolled Practice Location: Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400 | |
Dr. Amin Afrazi, MD,PH.D General Practice Medicare: Medicare Enrolled Practice Location: Uw Hospital And Clinics, 600 Highland Ave, H4/831, Madison, WI 53792 Phone: 608-263-1377 | |
Dr. Robin Louise Chene, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 530 W Lakeside St, Madison, WI 53715 Phone: 608-258-9721 | |
Dr. Kathy J Russeth, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 345 W Washington Ave Ste 307, Madison, WI 53703 Phone: 414-395-5435 | |
Jane E Mahoney, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 2880 University Ave, Madison, WI 53705 Phone: 608-263-7740 Fax: 608-262-6048 | |
Jessica Lynn Kelderman, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 5315 Wall St Ste 260, Madison, WI 53718 Phone: 608-807-1600 Fax: 608-467-1425 |