| Madison Mobile Wound Care Practice | |
|
401 New Castle Way Madison WI 53704-6070 | |
| (608) 577-2084 | |
| Not Available |
| Full Name | Madison Mobile Wound Care Practice |
|---|---|
| Speciality | Internal Medicine |
| Location | 401 New Castle Way, Madison, Wisconsin |
| Authorized Official Name and Position | Kimberly L Olson (ADVANCED PRACTICE NURSE PRESCRIBER) |
| Authorized Official Contact | 6085772084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Mobile Wound Care Practice Po Box 8334 Madison WI 53708-8334 Ph: (608) 577-2084 | Madison Mobile Wound Care Practice 401 New Castle Way Madison WI 53704-6070 Ph: (608) 577-2084 |
| NPI Number | 1831945237 |
|---|---|
| Provider Enumeration Date | 04/25/2024 |
| Last Update Date | 05/23/2024 |
| Medicare PECOS PAC ID | 8628512407 |
|---|---|
| Medicare Enrollment ID | O20240703002887 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831945237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kristen M Murdoch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851802375 PECOS PAC ID: 2668738394 Enrollment ID: I20171113000997 |
| Provider Name | Meagan M Scheuing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598213373 PECOS PAC ID: 7113205485 Enrollment ID: I20200603000474 |
| Provider Name | Kimberly L Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003689498 PECOS PAC ID: 2961852504 Enrollment ID: I20231222001904 |
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