Michael David Puricelli, MD | |
600 Highland Ave, Madison, WI 53792-1009 | |
(608) 263-6420 | |
(608) 265-7004 |
Full Name | Michael David Puricelli |
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Gender | Male |
Speciality | Otolaryngology |
Location | 600 Highland Ave, Madison, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1679834089 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Y00000X | Otolaryngology | 61568 (Minnesota) | Secondary |
207Y00000X | Otolaryngology | 2012015917 (Missouri) | Secondary |
207Y00000X | Otolaryngology | 73082-20 (Wisconsin) | Primary |
Entity Name | University Of Wisconsin Medical Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
Mailing Address | Practice Location Address |
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Michael David Puricelli, MD 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () - | Michael David Puricelli, MD 600 Highland Ave, Madison, WI 53792-1009 Ph: (608) 263-6420 |
Charles N Ford, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6190 Fax: 608-263-6199 | |
Ruth Jennifer Davis, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6190 Fax: 608-263-6199 | |
Chelsea M Kruse, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792 Phone: 563-880-4962 | |
Jason S Isenberg, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1211 Fish Hatchery Rd, Madison, WI 53715 Phone: 608-252-8000 Fax: 608-283-7381 | |
Dr. Ian Joseph Koszewski, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: Uw Hospital And Clinics, 600 Highland Ave, H4/831, Madison, WI 53792 Phone: 608-263-0192 | |
Dr. Joseph Paul Roche, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6190 Fax: 608-263-6199 | |
Dr. Paula Demetrio De Souza Franca, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400 |