Charles D Washington, MD | |
800 Riverside Dr, Waupaca, WI 54981-1943 | |
(715) 258-1000 | |
Not Available |
Full Name | Charles D Washington |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 800 Riverside Dr, Waupaca, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124058599 | NPI | - | NPPES |
36109776 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 036109776 (Illinois) | Secondary |
207P00000X | Emergency Medicine | 53840-20 (Wisconsin) | Primary |
Entity Name | Agnesian Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
Entity Name | Waupun Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548248644 PECOS PAC ID: 7618886565 Enrollment ID: O20040217000786 |
Entity Name | Madison Emergency Physicians Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588646095 PECOS PAC ID: 4587631858 Enrollment ID: O20040915000748 |
Mailing Address | Practice Location Address |
---|---|
Charles D Washington, MD 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (715) 258-1000 | Charles D Washington, MD 800 Riverside Dr, Waupaca, WI 54981-1943 Ph: (715) 258-1000 |
Dr. Logan Robert Gorges, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 Fax: 715-258-1042 | |
Michael Andrew Ward, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 | |
Dr. Amy T Kenworthy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 | |
Dr. Lana L Sanders, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 Fax: 715-258-1042 | |
Francesca L Detrana, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 Fax: 715-258-1632 | |
Dr. Spencer Wolf Greaves, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 |