Paul A Boeder, MD | |
1100 Bergslien St, Baldwin, WI 54002-2600 | |
(715) 684-1111 | |
(715) 684-1119 |
Full Name | Paul A Boeder |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 1100 Bergslien St, Baldwin, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356335269 | NPI | - | NPPES |
1356335269 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 31521-20 (Wisconsin) | Primary |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Entity Name | Ladd Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467560227 PECOS PAC ID: 9931092848 Enrollment ID: O20040204000998 |
Entity Name | Baldwin Area Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467496133 PECOS PAC ID: 7911800586 Enrollment ID: O20040310000505 |
Entity Name | Obhg Wisconsin Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699273862 PECOS PAC ID: 0840551750 Enrollment ID: O20180309000278 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407395247 PECOS PAC ID: 4587573613 Enrollment ID: O20221214000269 |
Mailing Address | Practice Location Address |
---|---|
Paul A Boeder, MD 1100 Bergslien St, Baldwin, WI 54002-2600 Ph: (715) 684-1111 | Paul A Boeder, MD 1100 Bergslien St, Baldwin, WI 54002-2600 Ph: (715) 684-1111 |
Dennis R Hartung, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1100 Bergslien St, Baldwin, WI 54002 Phone: 715-684-1111 Fax: 715-684-1289 | |
Dr. Steven Allen Verbeek, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1100 Bergslien St, Baldwin, WI 54002 Phone: 715-684-1111 Fax: 715-684-1119 | |
Linda Jean Lindquist, C.N.P. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1100 Bergslien St, Baldwin, WI 54002 Phone: 715-684-1111 Fax: 715-684-1119 |