Harry Douglas Malcolm, | |
13380 W Trepania Rd, Hayward, WI 54843-2186 | |
(715) 638-5100 | |
(715) 634-6107 |
Full Name | Harry Douglas Malcolm |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 40 Years |
Location | 13380 W Trepania Rd, Hayward, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144251166 | NPI | - | NPPES |
32246500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 38164-020 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Regional Hospice Services | Ashland, WI | Hospice |
Hayward Area Memorial Hospital | Hayward, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lac Courte Oreilles Governing Board | 7810983517 | 11 |
Entity Name | Lac Courte Oreilles Governing Board |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194830208 PECOS PAC ID: 7810983517 Enrollment ID: O20040420001318 |
Mailing Address | Practice Location Address |
---|---|
Harry Douglas Malcolm, 13380 W Trepania Rd, Hayward, WI 54843-2186 Ph: (715) 638-5100 | Harry Douglas Malcolm, 13380 W Trepania Rd, Hayward, WI 54843-2186 Ph: (715) 638-5100 |
Matthew James Luedke, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11134 N Hwy 77, Hayward, WI 54843 Phone: 715-634-5505 Fax: 715-634-5558 | |
Vicentiu Andrei, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11134 N Hwy 77, Hayward, WI 54843 Phone: 715-634-5505 | |
Katherine Matthews Eichten, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 11040 N State Road 77, Hayward, WI 54843 Phone: 715-934-4321 | |
Sabrina Ann Dunlap, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11040 N State Rd 77, Hayward, WI 54843 Phone: 715-934-4910 Fax: 715-934-4620 | |
John Robert Mckevett, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11134 N Hwy 77, Hayward, WI 54843 Phone: 715-634-5505 Fax: 715-634-5558 | |
Dr. Mary Cord Mason, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 13380 W Trepania Rd, Hayward, WI 54843 Phone: 715-638-5101 Fax: 715-634-1021 |