Shawn Thomas Sedgwick, MD | |
1836 South Ave, La Crosse, WI 54601-5429 | |
(608) 782-7300 | |
Not Available |
Full Name | Shawn Thomas Sedgwick |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1836 South Ave, La Crosse, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679559298 | NPI | - | NPPES |
5163 | Other | AK | AK STATE LICENSE |
001063025 | Other | WI | MEDICARE |
MD9374 | Medicaid | AK | |
38787-020 | Other | WI | STATE OF WISCONSIN LICENSE |
32362200 | Medicaid | WI | |
005300461 | Other | WI | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5163 (Alaska) | Secondary |
207Q00000X | Family Medicine | 38787-020 (Wisconsin) | Primary |
Entity Name | Gundersen Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
Entity Name | Moundview Memorial Hospital & Clinics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710939533 PECOS PAC ID: 1355250432 Enrollment ID: O20031121000846 |
Entity Name | Memorial Hospital Of Boscobel |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760459846 PECOS PAC ID: 8325957673 Enrollment ID: O20040115000725 |
Entity Name | Vernon Memorial Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144226507 PECOS PAC ID: 8325958416 Enrollment ID: O20040420001202 |
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 |
Entity Name | St Joseph's Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104031798 PECOS PAC ID: 3971586439 Enrollment ID: O20040615000273 |
Entity Name | Tri-county Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124063573 PECOS PAC ID: 4587642418 Enrollment ID: O20040708000696 |
Entity Name | Gundersen Lutheran Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
Mailing Address | Practice Location Address |
---|---|
Shawn Thomas Sedgwick, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Shawn Thomas Sedgwick, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
Dr. Ian G Latham, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Kelly Ann Carothers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Gabriel T. Berendes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Kristine L Johnson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Dr. Deborah Ann Hatanpa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Kimberly J. Hardy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, Gundersen Health System, La Crosse, WI 54601 Phone: 608-782-7300 | |
Dr. Richard Antonio Cayasso, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |