| Cassondra Lynn Kovach, MD | |
|
4131 Meridian Dr, Windsor, WI 53598-9699 | |
| (608) 846-3741 | |
| (608) 846-7898 |
| Full Name | Cassondra Lynn Kovach |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 4131 Meridian Dr, Windsor, 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 |
|---|---|---|---|
| 1043201338 | NPI | - | NPPES |
| CK083274 | Other | MI | STATE LICENSE # |
| P00160742 | Other | RAILROAD MEDICARE | |
| 31354 | Other | MI | HEALTH PLAN OF MI |
| 0800311522 | Other | MI | BCBS MI PROV # |
| 1043201338 | Medicaid | WI | |
| 4615612 | Medicaid | MI | |
| 2397259 | Other | UNITED HEALTHCARE | |
| P31738F | Other | MI | BLUE CARE NETWORK |
| 01-30787 | Other | PHP PROV # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 56450-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Agrace Hospicecare | Madison, WI | Hospice |
| University Of Wi Hospitals & Clinics Authority | Madison, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Wisconsin Medical Foundation Inc | 6608785464 | 2380 |
| 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 |
|---|---|
| Cassondra Lynn Kovach, MD 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () - | Cassondra Lynn Kovach, MD 4131 Meridian Dr, Windsor, WI 53598-9699 Ph: (608) 846-3741 |
Dr. Bethany Morehouse Howlett, MD, MHS Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4131 Meridian Dr, Windsor, WI 53598 Phone: 608-846-3741 Fax: 608-846-7989 | |
Dr. Jacqueline L Gerhart, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4131 Meridian Lane, Windsor, WI 53278 Phone: 608-846-3741 Fax: 608-846-7897 |