| Lindsey Nicole Clark, MD | |
|
3811 Spring St # 201, Mount Pleasant, WI 53405-1667 | |
| (262) 687-5850 | |
| Not Available |
| Full Name | Lindsey Nicole Clark |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 11 Years |
| Location | 3811 Spring St # 201, Mount Pleasant, 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 |
|---|---|---|---|
| 1043638315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 61458 (Tennessee) | Secondary |
| 208600000X | Surgery | 64427-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension All Saints Hospital | Racine, WI | Hospital |
| Ascension Se Wisconsin Hospital - St Joseph Campus | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group-southeast Wisconsin Inc | 8628980943 | 505 |
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| Mailing Address | Practice Location Address |
|---|---|
| Lindsey Nicole Clark, MD 3811 Spring St # 201, Mount Pleasant, WI 53405-1667 Ph: (812) 212-4614 | Lindsey Nicole Clark, MD 3811 Spring St # 201, Mount Pleasant, WI 53405-1667 Ph: (262) 687-5850 |
James M Waltenberger, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 888-720-2012 | |
Steven J. Ryder, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 888-720-2012 | |
Mr. Nathan Boren, Surgery Medicare: Accepting Medicare Assignments Practice Location: 3811 Spring St # 201, Mount Pleasant, WI 53405 Phone: 773-975-1600 | |
Timothy B Lesage, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 888-720-2012 |