| Deborah K Boushea, MD | |
|
5012 Midmoor Rd, Monona, WI 53716-2619 | |
| (608) 230-6682 | |
| Not Available |
| Full Name | Deborah K Boushea |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 5012 Midmoor Rd, Monona, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306813084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 26755 (Wisconsin) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah K Boushea, MD 5012 Midmoor Rd, Monona, WI 53716-2619 Ph: () - | Deborah K Boushea, MD 5012 Midmoor Rd, Monona, WI 53716-2619 Ph: (608) 230-6682 |
Melissa S Grimm, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6408 Copps Ave, Monona, WI 53716 Phone: 608-417-3000 Fax: 608-417-3100 | |
Juanita J Halls, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1218 Birch Haven Cir, Monona, WI 53716 Phone: 608-843-7857 | |
Dr. Sanford Allen Carimi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6408 Copps Ave, Monona, WI 53716 Phone: 608-417-3000 Fax: 608-417-3100 | |
Joseph P Mcmahon, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 3837 Monona Dr Unit 8, Monona, WI 53714 Phone: 608-212-8006 |