Cynthia Egan, MD is a
Family Medicine physician based in Clintonville, Wisconsin. Cynthia Egan is licensed to practice in Wisconsin (license number 23031) and her current practice location is 370 S Main St, Clintonville, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 823-5161.
NPI number for Cynthia Egan is 1174559132 and her current mailing address is Po Box 8003, Appleton, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174559132.
Physician's Profile
| Full Name | Cynthia Egan |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 370 S Main St, Clintonville, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174559132
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 11/23/2011
Medical Identifiers
Medical identifiers for Cynthia Egan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174559132 | NPI | - | NPPES |
| 30472100 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 23031 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Cynthia Egan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Cynthia Egan, MD
Po Box 8003,
Appleton, WI 54912-8003
Ph: (920) 996-3298 | Cynthia Egan, MD
370 S Main St,
Clintonville, WI 54929-1632
Ph: (715) 823-5161 |
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