| Hy-vee Health Pc | |
|
675 S Whitney Way Madison WI 53711-1034 | |
| (515) 225-2930 | |
| (515) 559-2495 |
| Full Name | Hy-vee Health Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 675 S Whitney Way, Madison, Wisconsin |
| Authorized Official Name and Position | Daniel S Fick (OWNER) |
| Authorized Official Contact | 5152214663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hy-vee Health Pc 5820 Westown Pkwy West Des Moines IA 50266-8223 Ph: (515) 225-2930 | Hy-vee Health Pc 675 S Whitney Way Madison WI 53711-1034 Ph: (515) 225-2930 |
| NPI Number | 1255105060 |
|---|---|
| Provider Enumeration Date | 11/13/2023 |
| Last Update Date | 11/14/2023 |
| Medicare PECOS PAC ID | 1254701618 |
|---|---|
| Medicare Enrollment ID | O20231221003202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255105060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Daniel Fick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457347049 PECOS PAC ID: 3779662168 Enrollment ID: I20231221003292 |
| Provider Name | Emily Joppe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1639947245 PECOS PAC ID: 1153863915 Enrollment ID: I20240607001306 |
| Provider Name | Aryn Degrave |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730821653 PECOS PAC ID: 1153863964 Enrollment ID: I20240607003284 |
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