| Medical Procedures Of Wisconsin S C | |
|
1920 Monroe St Madison WI 53711-2027 | |
| (608) 251-6060 | |
| (608) 251-3930 |
| Full Name | Medical Procedures Of Wisconsin S C |
|---|---|
| Speciality | Clinic/Center |
| Location | 1920 Monroe St, Madison, Wisconsin |
| Authorized Official Name and Position | Eric Phillippi (OWNER) |
| Authorized Official Contact | 6082516060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Procedures Of Wisconsin S C 6649 Odana Rd Madison WI 53719-1011 Ph: (608) 251-6060 | Medical Procedures Of Wisconsin S C 1920 Monroe St Madison WI 53711-2027 Ph: (608) 251-6060 |
| NPI Number | 1891266532 |
|---|---|
| Provider Enumeration Date | 12/06/2018 |
| Last Update Date | 04/20/2022 |
| Medicare PECOS PAC ID | 9335487792 |
|---|---|
| Medicare Enrollment ID | O20190208002095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891266532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Eric T Phillippi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568872752 PECOS PAC ID: 8628381787 Enrollment ID: I20160411000616 |
| Provider Name | Elizabeth Baehnk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972215465 PECOS PAC ID: 5092189944 Enrollment ID: I20230316001804 |
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