Jenifer I Bassett Md Sc | |
714 W Hamilton Ave Eau Claire WI 54701-6937 | |
(715) 830-9990 | |
(715) 830-9995 |
Full Name | Jenifer I Bassett Md Sc |
---|---|
Speciality | Internal Medicine |
Location | 714 W Hamilton Ave, Eau Claire, Wisconsin |
Authorized Official Name and Position | Jenifer I Bassett (DIRECTOR PRESIDENT) |
Authorized Official Contact | 7158309990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jenifer I Bassett Md Sc 714 W Hamilton Ave Eau Claire WI 54701-6937 Ph: (715) 830-9990 | Jenifer I Bassett Md Sc 714 W Hamilton Ave Eau Claire WI 54701-6937 Ph: (715) 830-9990 |
NPI Number | 1013088665 |
---|---|
Provider Enumeration Date | 11/13/2006 |
Last Update Date | 03/10/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013088665 | NPI | - | NPPES |
34401300 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 45876 (Wisconsin) | Primary |
208000000X | Pediatrics | 45876 (Wisconsin) | Secondary |
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Thomas P Peller Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 714 W Hamilton Ave, Eau Claire, WI 54701 Phone: 715-830-9990 Fax: 715-830-9995 |