| Cassandra Hardy, | |
|
3400 Union Ave, Sheboygan, WI 53081-8426 | |
| (920) 802-2100 | |
| (920) 802-1500 |
| Full Name | Cassandra Hardy |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 3400 Union Ave, Sheboygan, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578145744 | NPI | - | NPPES |
| 100174548 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 76229 (Minnesota) | Secondary |
| 207P00000X | Emergency Medicine | 81426-20 (Wisconsin) | Primary |
| Entity Name | Hudson Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396849303 PECOS PAC ID: 0648183061 Enrollment ID: O20031121000807 |
| Entity Name | Amery Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093763518 PECOS PAC ID: 2769391960 Enrollment ID: O20040131000207 |
| Entity Name | St. Croix Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20040205000217 |
| Entity Name | Westfields Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881640183 PECOS PAC ID: 2264490960 Enrollment ID: O20090122000350 |
| Mailing Address | Practice Location Address |
|---|---|
| Cassandra Hardy, Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Cassandra Hardy, 3400 Union Ave, Sheboygan, WI 53081-8426 Ph: (920) 802-2100 |
Beth Kreutzer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-802-2100 | |
Tyler Beranek, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 902-802-8426 | |
Jonathan J Pickos, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-802-2100 | |
Charles R Strancke Jr., MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2629 N 7th St, Sheboygan, WI 53083 Phone: 920-451-5553 Fax: 920-451-5113 | |
Dr. Carissa Tyo, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-802-2100 | |
John Longano, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3100 Superior Ave, Sheboygan, WI 53081 Phone: 414-290-6715 | |
David L Paton, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2629 N 7th St, Sheboygan, WI 53083 Phone: 920-451-5553 Fax: 920-451-5113 |