| Richland Medical Center, Ltd. | |
|
301 E 2nd St Richland Center WI 53581-1900 | |
| (608) 647-6161 | |
| (608) 647-3178 |
| Full Name | Richland Medical Center, Ltd. |
|---|---|
| Speciality | Family Medicine |
| Location | 301 E 2nd St, Richland Center, Wisconsin |
| Authorized Official Name and Position | Kirk C Frescoln (ADMINISTRATOR) |
| Authorized Official Contact | 6086476161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richland Medical Center, Ltd. 301 E 2nd St Richland Center WI 53581-1900 Ph: (608) 647-6161 | Richland Medical Center, Ltd. 301 E 2nd St Richland Center WI 53581-1900 Ph: (608) 647-6161 |
| NPI Number | 1932100690 |
|---|---|
| Provider Enumeration Date | 08/03/2005 |
| Last Update Date | 04/16/2013 |
| Medicare PECOS PAC ID | 6305828906 |
|---|---|
| Medicare Enrollment ID | O20040607000729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932100690 | NPI | - | NPPES |
| 32749400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David R Paolone |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1235194846 PECOS PAC ID: 1254245012 Enrollment ID: I20031117000083 |
| Provider Name | Janice H Alexander |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851363592 PECOS PAC ID: 8224931951 Enrollment ID: I20040130000019 |
| Provider Name | Keith L Devries |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1366415341 PECOS PAC ID: 7719878487 Enrollment ID: I20040323000416 |
| Provider Name | Paul H Hinderaker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013980879 PECOS PAC ID: 5799676466 Enrollment ID: I20040323000585 |
| Provider Name | John Moses |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497729008 PECOS PAC ID: 3173414844 Enrollment ID: I20040323000627 |
| Provider Name | Christopher M Eckerman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1851381099 PECOS PAC ID: 6406845072 Enrollment ID: I20040510000131 |
| Provider Name | Cristine L Cornelius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710988464 PECOS PAC ID: 1456333954 Enrollment ID: I20040607000814 |
| Provider Name | Jennifer S Lahmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366448474 PECOS PAC ID: 0042270589 Enrollment ID: I20041019000161 |
| Provider Name | Richelle M Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255304283 PECOS PAC ID: 5991766495 Enrollment ID: I20041019000619 |
| Provider Name | Paula A Bank |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295808921 PECOS PAC ID: 3476506460 Enrollment ID: I20050302000486 |
| Provider Name | Charles A Weber |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093776908 PECOS PAC ID: 5991751760 Enrollment ID: I20050324000366 |
| Provider Name | Jennifer M Myszkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972504637 PECOS PAC ID: 1658312186 Enrollment ID: I20050516000353 |
| Provider Name | Thomas L Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669473286 PECOS PAC ID: 7315831328 Enrollment ID: I20050827000119 |
| Provider Name | Tanya M Neumaier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962477570 PECOS PAC ID: 1254349384 Enrollment ID: I20060330000361 |
| Provider Name | Neil N Bard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922009927 PECOS PAC ID: 0446232946 Enrollment ID: I20060330000374 |
| Provider Name | Petar G Igic |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1053365494 PECOS PAC ID: 9638182801 Enrollment ID: I20060711000468 |
| Provider Name | Brenda N Reisdorph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851392864 PECOS PAC ID: 4385649300 Enrollment ID: I20060926000501 |
| Provider Name | Andrew Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093729113 PECOS PAC ID: 3678577129 Enrollment ID: I20070814000108 |
| Provider Name | Karen R Sinnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366636797 PECOS PAC ID: 5092802785 Enrollment ID: I20071026000619 |
| Provider Name | Robin M Butrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235130998 PECOS PAC ID: 0648368761 Enrollment ID: I20071126000514 |
| Provider Name | Philomena M Poole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629079348 PECOS PAC ID: 6204907306 Enrollment ID: I20080617000660 |
| Provider Name | Alexander D Wade |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720245244 PECOS PAC ID: 1557422235 Enrollment ID: I20081213000089 |
| Provider Name | Victor J Weiss |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619028768 PECOS PAC ID: 2961564588 Enrollment ID: I20090724000603 |
| Provider Name | David J May |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053577379 PECOS PAC ID: 3173678604 Enrollment ID: I20090903000675 |
| Provider Name | Stephen J Delventhal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215938956 PECOS PAC ID: 6103808704 Enrollment ID: I20091208000287 |
| Provider Name | Matthew P Grade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093813750 PECOS PAC ID: 5395733182 Enrollment ID: I20100105000043 |
| Provider Name | James J Dickman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811998552 PECOS PAC ID: 3274616628 Enrollment ID: I20100119000604 |
| Provider Name | Christine S Richards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689675308 PECOS PAC ID: 4284717638 Enrollment ID: I20100126000376 |
| Provider Name | Thomas S Beck |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275534679 PECOS PAC ID: 9638252083 Enrollment ID: I20100126000407 |
| Provider Name | Joanne M Kriege |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1033152061 PECOS PAC ID: 9032244181 Enrollment ID: I20100316000051 |
| Provider Name | Robert P Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255332870 PECOS PAC ID: 6002898608 Enrollment ID: I20100809000161 |
| Provider Name | William C Bucknam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548206360 PECOS PAC ID: 7012921943 Enrollment ID: I20100820001127 |
| Provider Name | Kay M Balink |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871594598 PECOS PAC ID: 3971585472 Enrollment ID: I20101023000301 |
| Provider Name | Cynthia Jean Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356750905 PECOS PAC ID: 3971721465 Enrollment ID: I20140825002236 |
| Provider Name | Jenna K Sebranek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467895136 PECOS PAC ID: 3173745015 Enrollment ID: I20141110002109 |
| Provider Name | Luke N Peterson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1467689109 PECOS PAC ID: 8921220690 Enrollment ID: I20141112002402 |
| Provider Name | Rachel A Biemiller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790927390 PECOS PAC ID: 0042453680 Enrollment ID: I20151002002623 |
| Provider Name | Allison Ewing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891243002 PECOS PAC ID: 2365720471 Enrollment ID: I20161025000492 |
| Provider Name | Nicholas M Czosnyka |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093071441 PECOS PAC ID: 9234367228 Enrollment ID: I20170726002200 |
| Provider Name | Peter J Lamble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144266909 PECOS PAC ID: 4183610728 Enrollment ID: I20180927000010 |
| Provider Name | Edward Piotr Zarczynski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205999208 PECOS PAC ID: 8426140211 Enrollment ID: I20190807002665 |
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