| Bridget Rose O'connell-long, | |
|
5249 E Terrace Dr, Madison, WI 53718-8339 | |
| (608) 265-1212 | |
| Not Available |
| Full Name | Bridget Rose O'connell-long |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 5249 E Terrace Dr, 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 |
|---|---|---|---|
| 1750888079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 86030-20 (Wisconsin) | Primary |
| 208000000X | Pediatrics | 63363 (Arizona) | Secondary |
| Entity Name | Mountain Park Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558308825 PECOS PAC ID: 8325949647 Enrollment ID: O20040119000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Bridget Rose O'connell-long, 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () - | Bridget Rose O'connell-long, 5249 E Terrace Dr, Madison, WI 53718-8339 Ph: (608) 265-1212 |
Dr. Emily Ann Forster, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Uw Hospitals & Clinics 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400 | |
Dr. Daniel J Jackson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Csc Box 9988, Madison, WI 53792 Phone: 608-239-3515 | |
Dr. Elma O Sia, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4410 Regent St, Madison, WI 53705 Phone: 608-233-9746 | |
Patricia V Staats, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1217 Gilbert Rd, Madison, WI 53711 Phone: 608-274-3636 | |
Michael W Ritter, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7610 Sawmill Rd, Madison, WI 53717 Phone: 608-831-1528 | |
Dr. Jesse Roach, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6420 | |
Norris Glick, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 317 Knutson Drive, Madison, WI 53704 Phone: 608-301-1791 |