Robert D Hulburt, DO | |
321 Butts Ave, Tomah, WI 54660-1412 | |
(608) 372-2181 | |
Not Available |
Full Name | Robert D Hulburt |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 321 Butts Ave, Tomah, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790976520 | NPI | - | NPPES |
1790976520 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 57084-21 (Wisconsin) | Primary |
Entity Name | Tomah Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992970453 PECOS PAC ID: 6901897016 Enrollment ID: O20040519000123 |
Entity Name | Addiction Services And Pharmacotherapy Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265922660 PECOS PAC ID: 2860818937 Enrollment ID: O20200901002559 |
Mailing Address | Practice Location Address |
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Robert D Hulburt, DO 321 Butts Ave, Tomah, WI 54660-1412 Ph: (608) 372-2181 | Robert D Hulburt, DO 321 Butts Ave, Tomah, WI 54660-1412 Ph: (608) 372-2181 |
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 |