| Dr Martin Fedko, | |
|
1000 Mineral Point Ave, Janesville, WI 53548-2940 | |
| (608) 756-6611 | |
| (608) 756-6177 |
| Full Name | Dr Martin Fedko |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1000 Mineral Point Ave, Janesville, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134351430 | NPI | - | NPPES |
| ENROLLED | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 54102 (Minnesota) | Secondary |
| 207P00000X | Emergency Medicine | 64551-20 (Wisconsin) | Primary |
| Entity Name | Sanford Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699869875 PECOS PAC ID: 6800707100 Enrollment ID: O20040715001116 |
| Entity Name | United Hospital District Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952307688 PECOS PAC ID: 6204158884 Enrollment ID: O20150422000058 |
| Entity Name | Carris Health - Redwood Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265914048 PECOS PAC ID: 7911259619 Enrollment ID: O20181129001082 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Martin Fedko, 1000 Mineral Point Ave, Janesville, WI 53548-2940 Ph: (608) 756-6611 | Dr Martin Fedko, 1000 Mineral Point Ave, Janesville, WI 53548-2940 Ph: (608) 756-6611 |
Michael J. Hartmann, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6111 Fax: 608-756-6177 | |
Dr. Michael V Coogan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6000 | |
Sean William Marquis, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6611 Fax: 608-756-6177 | |
Dr. Benjamin Michael Wilkinson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6868 | |
Dr. Karl A Nibbelink, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6611 | |
Christopher M. Koenig, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6611 Fax: 608-756-6177 |