| Dr Roger V Branham, MD | |
|
1035 N Main St, Rice Lake, WI 54868-1260 | |
| (715) 234-9018 | |
| (715) 236-7535 |
| Full Name | Dr Roger V Branham |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 1035 N Main St, Rice Lake, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437243151 | NPI | - | NPPES |
| 30189200 | Medicaid | WI | |
| 2055052 | Medicaid | MN | |
| 32708700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 18971 (Wisconsin) | Primary |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Entity Name | Lakeview Medical Center Inc Of Rice Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1952890873 PECOS PAC ID: 5698071173 Enrollment ID: O20180904002962 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roger V Branham, MD 11040 N State Road 77, Hayward, WI 54843-3606 Ph: (715) 234-9018 | Dr Roger V Branham, MD 1035 N Main St, Rice Lake, WI 54868-1260 Ph: (715) 234-9018 |
John A Cragg, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1020 Lakeshore Dr, Rice Lake, WI 54868 Phone: 715-236-8134 | |
Dr. Patrick M Healy, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1035 N Main St, Rice Lake, WI 54868 Phone: 715-234-9018 Fax: 715-236-7535 | |
Daniel P Lochmann, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 |