| Dr Ekaterina Fedorova, MD | |
|
619 N Segoe Rd Apt 301, Madison, WI 53705-3156 | |
| (305) 788-3569 | |
| Not Available |
| Full Name | Dr Ekaterina Fedorova |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 619 N Segoe Rd Apt 301, Madison, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003311671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 81721 (Wisconsin) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 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 |
|---|---|
| Dr Ekaterina Fedorova, MD 619 N Segoe Rd Apt 301, Madison, WI 53705-3156 Ph: () - | Dr Ekaterina Fedorova, MD 619 N Segoe Rd Apt 301, Madison, WI 53705-3156 Ph: (305) 788-3569 |
Haggi Mazeh, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-265-8072 Fax: 608-265-9695 | |
Vanessa Mercedes Welten, MD MPH Surgery Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 617-732-5500 | |
Ruben Ngnitwew Massa A, MD Surgery Medicare: Medicare Enrolled Practice Location: 4221 Owl Creek Dr, Madison, WI 53718 Phone: 913-980-3405 | |
Faith Dickerson, MD Surgery Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400 | |
Dr. Wardah Rafaqat, M.B.B.S. Surgery Medicare: Medicare Enrolled Practice Location: 749 University Row Ste 200, Madison, WI 53705 Phone: 608-263-6400 | |
Bruce A Harms, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-7502 Fax: 608-265-5530 |