Michael C Stark, DO | |
325 Butts Ave, Tomah, WI 54660-1412 | |
(608) 372-5951 | |
(608) 372-3436 |
Full Name | Michael C Stark |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 45 Years |
Location | 325 Butts Ave, Tomah, 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 |
---|---|---|---|
1649260779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 22938 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hospice Touch | Tomah, WI | Hospice |
Mayo Clinic Health System-franciscan Medical Center Inc | La crosse, WI | Hospital |
Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta | Sparta, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mayo Clinic Health System-southwest Wisconsin Region Inc | 0345152443 | 417 |
Entity Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684 |
Entity Name | Tomah Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992970453 PECOS PAC ID: 6901897016 Enrollment ID: O20040519000123 |
Mailing Address | Practice Location Address |
---|---|
Michael C Stark, DO Po Box 1510, Eau Claire, WI 54702-1510 Ph: (608) 785-0940 | Michael C Stark, DO 325 Butts Ave, Tomah, WI 54660-1412 Ph: (608) 372-5951 |
Dr. Kyle Christian Thomas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Butts Ave, Tomah, WI 54660 Phone: 608-372-5951 | |
Sharel A Martin, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 325 Butts Ave, Tomah, WI 54660 Phone: 608-372-5951 Fax: 608-372-3436 | |
Dr. Rachel A Teske, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971 Fax: 608-372-1249 | |
Karyn Cecele, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 Butts Ave, Tomah, WI 54660 Phone: 608-372-5999 | |
George C Xakellis Jr., M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 500 East Veteran Street, Tomah, WI 54660 Phone: 608-372-1792 | |
April Ann Lassa, APNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-1239 | |
Ralph H Knudson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1330 N Superior Ave, Tomah, WI 54660 Phone: 608-372-4111 |