| Jack M Massee, DO | |
|
707 14th St, Baraboo, WI 53913-1539 | |
| (608) 356-1400 | |
| (608) 355-7007 |
| Full Name | Jack M Massee |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 7 Years |
| Location | 707 14th St, Baraboo, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316409196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 75006-21 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Clare Hospital - Baraboo | Baraboo, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3584 |
| Ssm Health Care Of Wisconsin Inc | 8527977867 | 30 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack M Massee, DO 1808 W Betline Hwy, Madison, WI 53713-2334 Ph: (608) 280-4647 | Jack M Massee, DO 707 14th St, Baraboo, WI 53913-1539 Ph: (608) 356-1400 |
Dr. Justin Thomas Lynch, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1700 Tuttle St, Baraboo, WI 53913 Phone: 608-355-3800 Fax: 380-355-7007 | |
Jamie R Petzke, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1700 Tuttle St, Baraboo, WI 53913 Phone: 608-356-1400 |