| Terra Thimm, | |
|
2817 New Pinery Rd, Portage, WI 53901-9240 | |
| (608) 742-4131 | |
| Not Available |
| Full Name | Terra Thimm |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 7 Years |
| Location | 2817 New Pinery Rd, Portage, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033613179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 75105-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Divine Savior Healthcare | Portage, WI | Hospital |
| Sauk Prairie Hospital | Prairie du sac, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Divine Savior Healthcare Inc | 5799684007 | 94 |
| Sauk Prairie Healthcare Inc | 8224948054 | 93 |
| Entity Name | Sauk Prairie Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861466153 PECOS PAC ID: 8224948054 Enrollment ID: O20031208000206 |
| Entity Name | Divine Savior Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Terra Thimm, 2817 New Pinery Rd, Portage, WI 53901-9240 Ph: (608) 742-4131 | Terra Thimm, 2817 New Pinery Rd, Portage, WI 53901-9240 Ph: (608) 742-4131 |
Michael C Walters, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-745-5689 Fax: 608-742-6098 | |
James T Gariti Sr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2817 New Pinery Rd, Divine Savior Healthcare Inc, Portage, WI 53901 Phone: 608-742-4131 Fax: 608-742-6098 | |
Gregory S Keeling, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2817 New Pinery Rd, Divine Savior Healthcare Inc, Portage, WI 53901 Phone: 608-742-4131 Fax: 608-745-5173 | |
Mr. Brian T. Stubitsch, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Divine Savior Healthcare Inc, Portage, WI 53901 Phone: 608-742-4131 Fax: 608-742-6098 | |
Hythem Abad, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 | |
Charles L Boursier, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2817 New Pinery Rd., Divine Savior Healthcare Inc, Portage, WI 53901 Phone: 608-742-4131 Fax: 608-745-5173 |