Mary Risvold, MD | |
1700 W Stout St, Rice Lake, WI 54868-5000 | |
(715) 236-4450 | |
Not Available |
Full Name | Mary Risvold |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 24 Years |
Location | 1700 W Stout St, Rice Lake, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346322559 | NPI | - | NPPES |
5124 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 37737 (Iowa) | Secondary |
207L00000X | Anesthesiology | 5124 (Alaska) | Secondary |
207L00000X | Anesthesiology | 84146 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Health System Corp | Janesville, WI | Hospital |
Allen Hospital | Waterloo, IA | Hospital |
Carolinas Healthcare System-blue Ridge | Morganton, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Iowa Physicians Clinic Medical Foundation | 8729992318 | 971 |
Morganton Anesthesia Partners, Pllc | 7416357801 | 44 |
Mercy Health System Corporation | 7416860440 | 475 |
Entity Name | Iowa Physicians Clinic Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
Mailing Address | Practice Location Address |
---|---|
Mary Risvold, MD 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511 | Mary Risvold, MD 1700 W Stout St, Rice Lake, WI 54868-5000 Ph: (715) 236-4450 |
Dr. John K Brendel Jr., M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2021 Cenex Dr Unit J, Rice Lake, WI 54868 Phone: 715-234-7246 Fax: 715-234-7242 | |
Dr. Mark A Weber, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-234-1515 | |
Dr. Douglas J Raether, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Jeffrey J Anderegg, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Dr. Philip S. Henkel, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2256 18th St, Rice Lake, WI 54868 Phone: 715-234-7011 |