Scott E Wichman, DO | |
614 Memorial Dr, Chilton, WI 53014-1568 | |
(920) 849-2386 | |
Not Available |
Full Name | Scott E Wichman |
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Gender | Male |
Speciality | Family Medicine |
Location | 614 Memorial Dr, Chilton, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194922393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 50485 (Wisconsin) | Primary |
Entity Name | Ascension Calumet Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376541748 PECOS PAC ID: 7416948427 Enrollment ID: O20040809000191 |
Mailing Address | Practice Location Address |
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Scott E Wichman, DO 1320 W Clairemont Ave, Suite 118, Eau Claire, WI 54701-4566 Ph: (715) 834-1555 | Scott E Wichman, DO 614 Memorial Dr, Chilton, WI 53014-1568 Ph: (920) 849-2386 |
Andrew Beine, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 618 Memorial Dr, Chilton, WI 53014 Phone: 920-849-3800 | |
Gene A Tipler, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 618 Memorial Dr, Chilton, WI 53014 Phone: 920-849-7734 | |
Christine M Bockhorn, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 618 Memorial Dr, Chilton, WI 53014 Phone: 920-849-7734 | |
Dr. Randy T Theiler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 451 E Brooklyn St, Chilton, WI 53014 Phone: 920-849-9375 | |
Benjamin Dellaria, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 618 Memorial Dr, Chilton, WI 53014 Phone: 920-849-3800 |