Brandon Thomas Lee, | |
700 West Ave S, La Crosse, WI 54601-4783 | |
(608) 785-0940 | |
Not Available |
Full Name | Brandon Thomas Lee |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 7 Years |
Location | 700 West Ave S, La Crosse, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962909366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 1195 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gooden Mobile Pod Nc Pllc | 2769738715 | 18 |
Provider Name | Gooden Mobile Pod Nc Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073003752 PECOS PAC ID: 2769738715 Enrollment ID: O20180703003175 |
Mailing Address | Practice Location Address |
---|---|
Brandon Thomas Lee, 200 1st St Sw, Rochester, MN 55905-0002 Ph: (608) 785-0940 | Brandon Thomas Lee, 700 West Ave S, La Crosse, WI 54601-4783 Ph: (608) 785-0940 |
Fatemeh S Jannati, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
James B Ringstrom, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
David M Dawson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Dr. Scott Collins Carrington, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Bruce B Erdmann, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Briana Lee Mahowald, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Michael R Quinn, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-392-9872 Fax: 608-392-3955 |