| Kristin E Verville, MD | |
|
900 College Ave W, Ladysmith, WI 54848-2116 | |
| (715) 532-2300 | |
| Not Available |
| Full Name | Kristin E Verville |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 900 College Ave W, Ladysmith, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326058470 | NPI | - | NPPES |
| 34384900 | Medicaid | WI | |
| 112069 | Other | WI | SECURITY HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 43801 (Wisconsin) | Primary |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1952890873 PECOS PAC ID: 5698071173 Enrollment ID: O20180904002962 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin E Verville, MD 900 College Ave W, Ladysmith, WI 54848-2116 Ph: (715) 532-2300 | Kristin E Verville, MD 900 College Ave W, Ladysmith, WI 54848-2116 Ph: (715) 532-2300 |
Andrey Mironenko, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 Port Arthur Rd, Ladysmith, WI 54848 Phone: 715-532-2300 | |
Allen S. Hanson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 906 College Ave W, Ladysmith, WI 54848 Phone: 715-532-2300 | |
Mohammed Dodwad, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 College Ave W, Ladysmith, WI 54848 Phone: 715-532-5561 Fax: 715-532-9809 | |
Inimfon Udoh, M.D Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 Port Arthur Rd, Ladysmith, WI 54848 Phone: 715-532-5561 | |
Dr. R Timothy Fitzner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 College Ave W, Ladysmith, WI 54848 Phone: 715-532-5561 Fax: 715-532-9809 |