Jacob Ryan Stewart, MD | |
800 West Ave S, La Crosse, WI 54601-8806 | |
(608) 785-0940 | |
Not Available |
Full Name | Jacob Ryan Stewart |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 6 Years |
Location | 800 West Ave S, La Crosse, 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 |
---|---|---|---|
1962909937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 65784 (Minnesota) | Secondary |
207N00000X | Dermatology | 22314 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kelly W Hubbard Md Pc | 1951499433 | 5 |
Entity Name | Kelly W Hubbard Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770779985 PECOS PAC ID: 1951499433 Enrollment ID: O20071130000165 |
Mailing Address | Practice Location Address |
---|---|
Jacob Ryan Stewart, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (608) 785-0940 | Jacob Ryan Stewart, MD 800 West Ave S, La Crosse, WI 54601-8806 Ph: (608) 785-0940 |
Martin Raymond Dittmer, MD Dermatology Medicare: Medicare Enrolled Practice Location: 700 West Avenue S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Kurt K Mueller, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Dr. Amy Wentland, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Darius E Wampler, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Dr. Clarence W. Brown Jr., M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
James D Hogan, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Malina Yamashita Peterson, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |