| Allexa Licon, | |
|
2601 W Beltline Hwy Ste 200, Madison, WI 53713-2319 | |
| (082) 872-4346 | |
| (608) 287-2182 |
| Full Name | Allexa Licon |
|---|---|
| Gender | Female |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 10 Years |
| Location | 2601 W Beltline Hwy Ste 200, Madison, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124480405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 77126-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Wi Hospitals & Clinics Authority | Madison, WI | Hospital |
| Unitypoint Health - Meriter | Madison, WI | Hospital |
| Mile Bluff Medical Center | Mauston, WI | Hospital |
| Sauk Prairie Hospital | Prairie du sac, WI | Hospital |
| Richland Hospital | Richland center, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Wisconsin Medical Foundation Inc | 6608785464 | 2537 |
| Mile Bluff Medical Center Inc | 8527971399 | 87 |
| Entity Name | University of Wisconsin Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
| Entity Name | Mile Bluff Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609912005 PECOS PAC ID: 8527971399 Enrollment ID: O20031205000618 |
| Mailing Address | Practice Location Address |
|---|---|
| Allexa Licon, 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: Not Available | Allexa Licon, 2601 W Beltline Hwy Ste 200, Madison, WI 53713-2319 Ph: (082) 872-4346 |
Cullen Buchanan, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-915-0200 |
Dr. Medhavani Dhruv Chandra, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400 |
Mariel Ma, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400 |
Mitchell Kenneth Keith, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400 |
Clare Ann Weber, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400 |
Jennifer Marie Rydz, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: Uw Health - Gme, 749 University Row Ste 200, Madison, WI 53705 Phone: 608-263-6400 |
Richard Guan Chiu, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 749 University Row Ste 200, Madison, WI 53705 Phone: 608-263-6400 |