Jason Ankumah-saikoom, MD | |
1700 Tuttle St, Baraboo, WI 53913-3319 | |
(608) 355-3800 | |
(608) 355-7001 |
Full Name | Jason Ankumah-saikoom |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1700 Tuttle St, Baraboo, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235303967 | NPI | - | NPPES |
1235303967 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 53876-020 (Wisconsin) | Primary |
Entity Name | Dean Health Systems Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
Entity Name | Mercy Health System Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
---|---|
Jason Ankumah-saikoom, MD 1700 Tuttle St, Baraboo, WI 53913-3319 Ph: (608) 355-3800 | Jason Ankumah-saikoom, MD 1700 Tuttle St, Baraboo, WI 53913-3319 Ph: (608) 355-3800 |
Karen S Ailsworth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1700 Tuttle St, Baraboo, WI 53913 Phone: 608-355-3800 Fax: 608-355-7001 | |
Teresa M Mendoza, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1700 Tuttle St, Baraboo, WI 53913 Phone: 608-355-3800 Fax: 608-355-7001 |