Darcey Jo Bedward, FNP APNP | |
8325 S Avon Store Rd, Brodhead, WI 53520-9328 | |
(608) 449-8207 | |
Not Available |
Full Name | Darcey Jo Bedward |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 8325 S Avon Store Rd, Brodhead, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538551254 | NPI | - | NPPES |
100043556 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 130017-030 (Wisconsin) | Secondary |
363LF0000X | Nurse Practitioner - Family | 6296-33 (Wisconsin) | Primary |
Entity Name | Lakeshore Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
Entity Name | Mercy Health System Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Entity Name | Group Health Cooperative Of South Central Wisconsin |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245260165 PECOS PAC ID: 3870489586 Enrollment ID: O20040227000306 |
Mailing Address | Practice Location Address |
---|---|
Darcey Jo Bedward, FNP APNP 8325 S Avon Store Rd, Brodhead, WI 53520-9328 Ph: (608) 449-8207 | Darcey Jo Bedward, FNP APNP 8325 S Avon Store Rd, Brodhead, WI 53520-9328 Ph: (608) 449-8207 |
Carmen Huenerberg, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2310 1st Center Ave, Brodhead, WI 53520 Phone: 608-897-8664 | |
Benjamin Layne Eithun, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: E401 23rd St, Brodhead, WI 53520 Phone: 262-701-7257 | |
Jacqueline Leigh Conway, APNP-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1904 1st Center Ave, Brodhead, WI 53520 Phone: 608-897-2191 |