| Dr Carlos Rodolfo Alfaraz, MD | |
|
1310 Broadway, Wisconsin Dells, WI 53965-1358 | |
| (608) 253-1171 | |
| (608) 253-8012 |
| Full Name | Dr Carlos Rodolfo Alfaraz |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1310 Broadway, Wisconsin Dells, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891861241 | NPI | - | NPPES |
| P01038284 | Other | WI | RAILROAD MEDICARE |
| 100016791 | Medicaid | WI | |
| 61204 | Other | WI | DEAN HEALTH INSURANCE |
| 2058269 | Other | WI | PHYSICIAN'S PLUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301060737 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | 56134 (Wisconsin) | Primary |
| Entity Name | Gifford Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942329446 PECOS PAC ID: 4880683663 Enrollment ID: O20040507000460 |
| Entity Name | North Country Hospital & Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104868892 PECOS PAC ID: 9739073479 Enrollment ID: O20041001000799 |
| Entity Name | North Country Hospital & Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144251059 PECOS PAC ID: 9739073479 Enrollment ID: O20041104000642 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carlos Rodolfo Alfaraz, MD 1310 Broadway, Wisconsin Dells, WI 53965-1358 Ph: (608) 253-1171 | Dr Carlos Rodolfo Alfaraz, MD 1310 Broadway, Wisconsin Dells, WI 53965-1358 Ph: (608) 253-1171 |
Daniel John Bodnar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1310 Broadway, Wisconsin Dells, WI 53965 Phone: 608-253-1171 Fax: 608-253-8012 | |
Mary Ellen Sabourin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1310 Broadway, Wisconsin Dells, WI 53965 Phone: 608-253-1171 Fax: 608-253-8012 | |
Richard K Westphal, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1310 Broadway, Wisconsin Dells, WI 53965 Phone: 608-253-1171 Fax: 608-253-8012 | |
Maureen A Murphy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1310 Broadway, Wisconsin Dells, WI 53965 Phone: 608-253-1171 Fax: 608-253-8012 | |
Sharilyn B Munneke, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1310 Broadway, Wisconsin Dells, WI 53965 Phone: 608-253-1171 Fax: 608-253-8012 | |
Sarah A Horowitz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1310 Broadway, Wisconsin Dells, WI 53965 Phone: 608-253-1171 Fax: 608-253-8012 |