Nadia Bronte Churchill-gilstrap, MD | |
11051 N Sherman Rd, Edgerton, WI 53534-9002 | |
(608) 884-3354 | |
(608) 884-5022 |
Full Name | Nadia Bronte Churchill-gilstrap |
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Gender | Female |
Speciality | Family Medicine |
Location | 11051 N Sherman Rd, Edgerton, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790301356 | NPI | - | NPPES |
1790301356 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 82468 (Wisconsin) | Secondary |
207Q00000X | Family Medicine | 4351047048 (Michigan) | Primary |
Entity Name | Dean Health Systems Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
Mailing Address | Practice Location Address |
---|---|
Nadia Bronte Churchill-gilstrap, MD 11051 N Sherman Rd, Edgerton, WI 53534-9002 Ph: (608) 884-3354 | Nadia Bronte Churchill-gilstrap, MD 11051 N Sherman Rd, Edgerton, WI 53534-9002 Ph: (608) 884-3354 |
Justin C. Frey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 217 N Main St, Edgerton, WI 53534 Phone: 608-884-9431 Fax: 608-884-7738 | |
Kenneth R Betts, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11051 N Sherman Rd, Edgerton, WI 53534 Phone: 608-884-3354 Fax: 608-884-5022 | |
Adam M Buhalog, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11051 N Sherman Rd, Edgerton, WI 53534 Phone: 608-884-3354 Fax: 608-884-5022 |