| Ssm Healthcare Of Wi Inc | |
|
707 14th St, Baraboo, WI 53913-1539 | |
| (608) 356-1400 | |
| Not Available |
| Full Name | Ssm Healthcare Of Wi Inc |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 707 14th St, Baraboo, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316909781 | NPI | - | NPPES |
| 391023846028 | Other | WI | BLUE CROSS PROV # |
| 1009390 | Other | WI | PHYS PLUS PROV # |
| 41173400 | Medicaid | WI | |
| 391023846 | Other | WI | COMM INS PROV # |
| 70 | Other | WI | DEANCARE PROV # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ssm Healthcare Of Wi Inc 707 14th St, Baraboo, WI 53913-1539 Ph: (608) 356-1400 | Ssm Healthcare Of Wi Inc 707 14th St, Baraboo, WI 53913-1539 Ph: (608) 356-1400 |
Bethany C Frostman, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 707 14th St, Baraboo, WI 53913 Phone: 608-356-1400 | |
Alison Allstadt, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 707 14th St, Baraboo, WI 53913 Phone: 608-356-1400 |