| Laura Ellen Correa, DO | |
|
707 S University Ave, Beaver Dam, WI 53916-3027 | |
| (414) 290-6720 | |
| (414) 290-6755 |
| Full Name | Laura Ellen Correa |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 707 S University Ave, Beaver Dam, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578702601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 54708-21 (Wisconsin) | Primary |
| Entity Name | Madison Emergency Physicians Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588646095 PECOS PAC ID: 4587631858 Enrollment ID: O20040915000748 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Ellen Correa, DO 111 E Wisconsin Ave, Suite 2000, Milwaukee, WI 53202-4815 Ph: (414) 290-6720 | Laura Ellen Correa, DO 707 S University Ave, Beaver Dam, WI 53916-3027 Ph: (414) 290-6720 |
Eric Russell Kotal, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-887-6606 | |
Richard T Tovar, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 414-290-6720 Fax: 414-290-6755 | |
Dr. Tonya Rae Neumann, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 414-290-6720 Fax: 414-290-6755 | |
Dr. Jeffrey Howard Lovell, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-887-6606 | |
Bryan Hartland Lassner, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-887-6606 |