Gloria Degenhardt, PA is a
Physician Assistant based in Norwalk, Wisconsin. Gloria Degenhardt is licensed to practice in Wisconsin (license number 1818) and her current practice location is
200 W North St., Norwalk, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 654-5100.
NPI number for Gloria Degenhardt is 1114914744 and her current mailing address is 238 Front St, Cashton, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114914744.
Provider's Profile
| Full Name | Gloria Degenhardt |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
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| Location | 200 W North St., Norwalk, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114914744
- Provider Enumeration Date: 09/29/2005
- Last Update Date: 08/14/2012
Medical Identifiers
Medical identifiers for Gloria Degenhardt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114914744 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 1818 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gloria Degenhardt is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gloria Degenhardt, PA
238 Front St,
Cashton, WI 54619-2002
Ph: () - | Gloria Degenhardt, PA
200 W North St.,
Norwalk, WI 54648-0225
Ph: (608) 654-5100 |
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