| Dr Mary Elizabeth Anderson, MD | |
|
N2950 State Road 67, Lake Geneva, WI 53147 | |
| (262) 245-4990 | |
| (262) 245-2248 |
| Full Name | Dr Mary Elizabeth Anderson |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 27 Years |
| Location | N2950 State Road 67, Lake Geneva, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487662060 | NPI | - | NPPES |
| 1487662060 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036144926 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Iowa Mercy Clinics | 7810809076 | 273 |
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Obhg Illinois Sc | 7810179702 | 20 |
| Entity Name | North Iowa Mercy Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780278242 PECOS PAC ID: 7810809076 Enrollment ID: O20031105000273 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Elizabeth Anderson, MD N2950 State Road 67, Lake Geneva, WI 53147-2655 Ph: (262) 245-4990 | Dr Mary Elizabeth Anderson, MD N2950 State Road 67, Lake Geneva, WI 53147 Ph: (262) 245-4990 |
Dr. Joy Zerrudo Seldera, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 146 E Geneva Square, Lake Geneva, WI 53147 Phone: 262-249-5000 Fax: 262-249-7142 | |
Aaron Staley, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-249-5000 Fax: 262-249-7143 | |
Andrea D Boeckman, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 262-245-0535 Fax: 262-245-2248 | |
Dr. Susan M Hagnell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-249-5005 Fax: 262-249-7142 |