| Cristine L Cornelius, MD | |
|
150 E Jefferson St, Spring Green, WI 53588-8000 | |
| (608) 588-7413 | |
| (608) 588-7609 |
| Full Name | Cristine L Cornelius |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 150 E Jefferson St, Spring Green, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710988464 | NPI | - | NPPES |
| 32400900 | Medicaid | WI | |
| P00366791 | Other | WI | RAILROAD MEDICARE |
| 0852480001 | Other | WI | DMERC |
| 528513 | Other | WI | UGS MEDICARE |
| 528514 | Other | WI | UGS MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 39030 (Wisconsin) | Primary |
| Entity Name | Richland Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659301273 PECOS PAC ID: 7618861618 Enrollment ID: O20110318000356 |
| Mailing Address | Practice Location Address |
|---|---|
| Cristine L Cornelius, MD 301 E 2nd St, Richland Center, WI 53581-1900 Ph: (608) 647-6161 | Cristine L Cornelius, MD 150 E Jefferson St, Spring Green, WI 53588-8000 Ph: (608) 588-7413 |
Ellen L Olson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 436 Sunrise Dr, Spring Green, WI 53588 Phone: 608-588-2502 | |
Luke W Fortney, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 436 Sunrise Dr, Spring Green, WI 53588 Phone: 608-588-2502 | |
Kay M Balink, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 150 E Jefferson St, Spring Green, WI 53588 Phone: 608-588-7413 Fax: 608-588-7609 | |
Mark G Timmerman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 436 Sunrise Dr, Spring Green, WI 53588 Phone: 608-588-2502 Fax: 608-588-7724 | |
Dr. Kennith Miller, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 156 W Jefferson St, Spring Green, WI 53588 Phone: 608-588-2600 Fax: 608-588-2644 |