Susan Kies Bazzell, MD | |
600 Highland Ave, Madison, WI 53792-7124 | |
(608) 263-8100 | |
(608) 262-6247 |
Full Name | Susan Kies Bazzell |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Location | 600 Highland Ave, Madison, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669583456 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 27804 (Arizona) | Secondary |
207L00000X | Anesthesiology | 49660 (Wisconsin) | Primary |
Entity Name | Banner -- University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
Mailing Address | Practice Location Address |
---|---|
Susan Kies Bazzell, MD 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () - | Susan Kies Bazzell, MD 600 Highland Ave, Madison, WI 53792-7124 Ph: (608) 263-8100 |
Andrew Mark Schroeder, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4029 Council Crst, Madison, WI 53711 Phone: 608-692-6481 | |
Dr. Matthew James Hoyt, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-8100 | |
John Henry Norman Harrison, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-8100 | |
Stephen H Vander Sluis, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 700 S Park St, Madison, WI 53715 Phone: 608-251-6100 Fax: 608-258-5222 | |
Peter Gerard Pryde, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 202 S Park St, 4 Tower, Madison, WI 53715 Phone: 608-267-6676 | |
Justin Allen Lehrke, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 700 S Park St, Madison, WI 53715 Phone: 608-251-6100 Fax: 608-258-5222 | |
Dr. Laurence Ross Rothstein, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 202 South Park Street, C/o Madison Anesthesiology Consultants, Llp, Madison, WI 53715 Phone: 608-267-6676 |