| Jamie R Petzke, MD | |
|
1700 Tuttle St, Baraboo, WI 53913-3319 | |
| (608) 356-1400 | |
| Not Available |
| Full Name | Jamie R Petzke |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 7 Years |
| Location | 1700 Tuttle St, Baraboo, 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 |
|---|---|---|---|
| 1811459605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 75717 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Clare Hospital - Baraboo | Baraboo, WI | Hospital |
| Sauk Prairie Hospital | Prairie du sac, WI | Hospital |
| Ssm Health St Mary's Hospital - Madison | Madison, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sauk Prairie Healthcare Inc | 8224948054 | 93 |
| Ssm Health Care Of Wisconsin Inc | 8527977867 | 30 |
| Entity Name | Sauk Prairie Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861466153 PECOS PAC ID: 8224948054 Enrollment ID: O20031208000206 |
| Entity Name | Ssm Health Care Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730160011 PECOS PAC ID: 8527977867 Enrollment ID: O20040326001345 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie R Petzke, MD 1808 W Beltline Hwy, Madison, WI 53713-2334 Ph: (608) 280-4647 | Jamie R Petzke, MD 1700 Tuttle St, Baraboo, WI 53913-3319 Ph: (608) 356-1400 |
Jack M Massee, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 707 14th St, Baraboo, WI 53913 Phone: 608-356-1400 Fax: 608-355-7007 | |
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 |