| Dr Andrew J Weddle, DO | |
|
800 Riverside Dr, Waupaca, WI 54981-1943 | |
| (715) 258-1041 | |
| Not Available |
| Full Name | Dr Andrew J Weddle |
|---|---|
| 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 |
|---|---|---|---|
| 1831395888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 53366 (Wisconsin) | Primary |
| 207P00000X | Emergency Medicine | 5101016338 (Michigan) | Secondary |
| Entity Name | Thedacare Medical Center - Shawano, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548260839 PECOS PAC ID: 5890605836 Enrollment ID: O20031117000117 |
| Entity Name | Thedacare Medical Center - Berlin, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760413777 PECOS PAC ID: 0446151666 Enrollment ID: O20040120000214 |
| Entity Name | Thedacare Regional Medical Center - Appleton, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902832306 PECOS PAC ID: 2163319039 Enrollment ID: O20040304000064 |
| Entity Name | Thedacare Medical Center - New London, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538127220 PECOS PAC ID: 5698664480 Enrollment ID: O20040311000254 |
| Entity Name | Thedacare Medical Center - Waupaca, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780782680 PECOS PAC ID: 3072504216 Enrollment ID: O20040524000645 |
| Entity Name | Thedacare Medical Center - Berlin, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1760413777 PECOS PAC ID: 0446151666 Enrollment ID: O20050302000751 |
| Entity Name | Thedacare Medical Center - Shawano, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1548260839 PECOS PAC ID: 5890605836 Enrollment ID: O20070524000076 |
| Entity Name | Thedacare Medical Center - Waupaca, Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1710333893 PECOS PAC ID: 3072504216 Enrollment ID: O20150918000809 |
| Entity Name | Thedacare Medical Center - New London, Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1538127220 PECOS PAC ID: 5698664480 Enrollment ID: O20161208000919 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew J Weddle, DO 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (920) 830-5900 | Dr Andrew J Weddle, DO 800 Riverside Dr, Waupaca, WI 54981-1943 Ph: (715) 258-1041 |
Charles D Washington, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 |
Dr. Ismail A Dania, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 |
Dr. Logan Robert Gorges, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments 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 |
Jennifer Marie Bahr, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 Fax: 715-258-1153 |
Dr. Lana L Sanders, MD Emergency Medicine Medicare: Accepting Medicare Assignments 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 |