| Derek A Scammell, MD | |
|
2321 Stout Rd, Menomonie, WI 54751-7003 | |
| (715) 235-5531 | |
| (715) 233-7645 |
| Full Name | Derek A Scammell |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 2321 Stout Rd, Menomonie, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568498921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 33199-020 (Wisconsin) | Primary |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235588831 PECOS PAC ID: 4385553627 Enrollment ID: O20161109002075 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154372944 PECOS PAC ID: 4385553627 Enrollment ID: O20171012000001 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1700837812 PECOS PAC ID: 4385553627 Enrollment ID: O20171012001230 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek A Scammell, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (715) 838-5222 | Derek A Scammell, MD 2321 Stout Rd, Menomonie, WI 54751-7003 Ph: (715) 235-5531 |
Thomas M. Herrmann, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-5531 Fax: 715-233-7645 | |
Dr. Christopher Craig Johnson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-5531 |