| Inimfon Udoh, MD | |
|
1200 Port Arthur Rd, Ladysmith, WI 54848-1137 | |
| (715) 532-5561 | |
| Not Available |
| Full Name | Inimfon Udoh |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 10 Years |
| Location | 1200 Port Arthur Rd, Ladysmith, 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 |
|---|---|---|---|
| 1720438187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 71408 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 077374 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lawrence & Memorial Hospital | New london, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Medical Group Inc | 1254233836 | 1287 |
| Entity Name | Northeast Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Inimfon Udoh, MD Ynhh Northeast Medical Group Family Medicine, 2 Sandy Desert Rd., Uncasville, CT 06382 Ph: (860) 464-3800 | Inimfon Udoh, MD 1200 Port Arthur Rd, Ladysmith, WI 54848-1137 Ph: (715) 532-5561 |
Thomas P Paulsen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 906 College Ave West, Ladysmith, WI 54848 Phone: 715-532-2345 | |
Joel D. Dekrey, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Lake Ave W, Ladysmith, WI 54848 Phone: 715-532-0203 | |
Robert A Nogler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 906 College Ave West, Ladysmith, WI 54848 Phone: 715-532-2345 | |
John L Ziemer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 906 College Ave West, Ladysmith, WI 54848 Phone: 715-532-2345 | |
Dr. Richard W Rapp, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Port Arthur Rd, Ladysmith, WI 54848 Phone: 715-532-2471 | |
Samantha Jo Runstrom, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 Lake Ave W, Ladysmith, WI 54848 Phone: 920-496-4700 | |
Dr. Ganesh Laxman Pawar, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 906 College Ave W, Ladysmith, WI 54848 Phone: 715-532-2300 |