| Edwin Barclay Shultz, MD | |
|
112 Helen St, Sauk City, WI 53583-1101 | |
| (608) 643-3351 | |
| (608) 643-3621 |
| Full Name | Edwin Barclay Shultz |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 112 Helen St, Sauk City, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316045099 | NPI | - | NPPES |
| 30699000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27416 (Wisconsin) | Primary |
| Entity Name | Prairie Clinic Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235163494 PECOS PAC ID: 3274521067 Enrollment ID: O20040501000377 |
| Mailing Address | Practice Location Address |
|---|---|
| Edwin Barclay Shultz, MD 112 Helen St, Sauk City, WI 53583-1101 Ph: (608) 643-3351 | Edwin Barclay Shultz, MD 112 Helen St, Sauk City, WI 53583-1101 Ph: (608) 643-3351 |
Maribeth H Baker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 Helen St, Sauk City, WI 53583 Phone: 608-643-3351 Fax: 608-643-3621 | |
Julia Danz, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 112 Helen St, Sauk City, WI 53583 Phone: 608-643-3351 | |
Mrs. Jessica M. Darling, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 Helen St., Sauk City, WI 53583 Phone: 608-643-3351 Fax: 608-643-3621 | |
Timothy L Bartholow, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 112 Helen St, Sauk City, WI 53583 Phone: 608-643-3351 Fax: 608-643-3621 | |
John J Koch, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 112 Helen St, Sauk City, WI 53583 Phone: 608-643-3351 Fax: 608-643-3621 | |
Thomas J Varley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 Helen St, Sauk City, WI 53583 Phone: 608-643-3351 Fax: 608-643-3621 |