Jessica Ann Farrell, MD | |
1701 N Spring St, Beaver Dam, WI 53916-1178 | |
(920) 887-1200 | |
Not Available |
Full Name | Jessica Ann Farrell |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1701 N Spring St, Beaver Dam, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1306306675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 81826-20 (Wisconsin) | Primary |
Entity Name | La Clinica De Los Campesinos, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790786929 PECOS PAC ID: 8729996574 Enrollment ID: O20040806000058 |
Mailing Address | Practice Location Address |
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Jessica Ann Farrell, MD 400 S Townline Rd, Wautoma, WI 54982-6922 Ph: (920) 787-5514 | Jessica Ann Farrell, MD 1701 N Spring St, Beaver Dam, WI 53916-1178 Ph: (920) 887-1200 |
Dr. Scott Robert Borkenhagen, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 707 University Ave, Psychiatry, Beaver Dam, WI 53916 Phone: 920-887-7181 | |
Dr. Kenneth C Graupner, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 200 Front Street, Ste 3d, Beaver Dam, WI 53916 Phone: 920-885-2780 Fax: 920-885-2788 |