| Jeffrey Alan Meade, MD | |
|
134 Hospital Dr, Watertown, WI 53098-3304 | |
| (920) 261-6500 | |
| (920) 261-6107 |
| Full Name | Jeffrey Alan Meade |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 134 Hospital Dr, Watertown, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437156163 | NPI | - | NPPES |
| 32455200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 39630-20 (Wisconsin) | Primary |
| Entity Name | Meade Medical Clinic Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396817789 PECOS PAC ID: 2365348026 Enrollment ID: O20031211000954 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Alan Meade, MD 134 Hospital Dr, Watertown, WI 53098-3304 Ph: (920) 261-6500 | Jeffrey Alan Meade, MD 134 Hospital Dr, Watertown, WI 53098-3304 Ph: (920) 261-6500 |
Scott A Martin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 134 Hospital Dr, Watertown, WI 53098 Phone: 920-261-6500 Fax: 920-261-6107 | |
Karie Ann Mantey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 134 Hospital Dr, Watertown, WI 53098 Phone: 920-261-6500 Fax: 920-261-6107 | |
Dr. Brigido C Calado, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1532 Utah St, Watertown, WI 53094 Phone: 920-261-7800 Fax: 920-261-7806 |