Marcia K Hagen, APNP | |
501 Gopher Dr, Tomah, WI 54660-4513 | |
(608) 372-2181 | |
Not Available |
Full Name | Marcia K Hagen |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 501 Gopher Dr, Tomah, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326284381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 3576 (Wisconsin) | Primary |
Entity Name | Tomah Memorial Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992970453 PECOS PAC ID: 6901897016 Enrollment ID: O20040519000123 |
Entity Name | Tomah Memorial Hospital Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1184765240 PECOS PAC ID: 6901897016 Enrollment ID: O20101120000172 |
Mailing Address | Practice Location Address |
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Marcia K Hagen, APNP 501 Gopher Dr, Tomah, WI 54660-4513 Ph: (608) 372-2181 | Marcia K Hagen, APNP 501 Gopher Dr, Tomah, WI 54660-4513 Ph: (608) 372-2181 |
Evelyn Williams Bragg, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971 | |
Mr. Daniel Hannan, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971 | |
Sarah J Rezin, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971 Fax: 608-372-1240 | |
Amy Pollack, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 E Veterans St, Tomah, WI 54660 Phone: 608-372-3971 | |
Kayla J Gilman, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 505 Gopher Dr, Tomah, WI 54660 Phone: 608-372-4111 | |
Agnieszka Dendura, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Gopher Dr, Tomah, WI 54660 Phone: 608-371-2181 | |
Mrs. Lyndell Marie Wedyke, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1330 N Superior Ave, Tomah, WI 54660 Phone: 608-372-4111 |