Potosi Tennyson Medical Clinic | |
114 Us Highway 61 N Potosi WI 53820-9502 | |
(608) 723-2131 | |
Not Available |
Full Name | Potosi Tennyson Medical Clinic |
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Speciality | Clinic/Center |
Location | 114 Us Highway 61 N, Potosi, Wisconsin |
Authorized Official Name and Position | Joel Gehling (CFO) |
Authorized Official Contact | 6087233202 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Potosi Tennyson Medical Clinic 114 Us Highway 61 N Potosi WI 53820-9502 Ph: () - | Potosi Tennyson Medical Clinic 114 Us Highway 61 N Potosi WI 53820-9502 Ph: (608) 723-2131 |
NPI Number | 1699724443 |
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Provider Enumeration Date | 05/09/2006 |
Last Update Date | 06/14/2022 |
Medicare PECOS PAC ID | 9638079445 |
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Medicare Enrollment ID | O20210325001606 |
Identifier | Type | State | Issuer |
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1699724443 | NPI | - | NPPES |
100192052 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |