| Mark G Timmerman, MD | |
|
436 Sunrise Dr, Spring Green, WI 53588-9286 | |
| (608) 588-2502 | |
| (608) 588-7724 |
| Full Name | Mark G Timmerman |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 436 Sunrise Dr, Spring Green, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881649333 | NPI | - | NPPES |
| 31648300 | Medicaid | WI | |
| P00463755 | Other | WI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 31402-020 (Wisconsin) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | 31402-020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sauk Prairie Hospital | Prairie du sac, WI | Hospital |
| Ssm Health St Mary's Hospital - Madison | Madison, WI | Hospital |
| Upland Hills Health | Dodgeville, WI | Hospital |
| Greenway Manor | Spring green, WI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sauk Prairie Healthcare Inc | 8224948054 | 93 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark G Timmerman, MD 436 Sunrise Dr, Spring Green, WI 53588-9286 Ph: (608) 588-2502 | Mark G Timmerman, MD 436 Sunrise Dr, Spring Green, WI 53588-9286 Ph: (608) 588-2502 |
Ellen L Olson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 436 Sunrise Dr, Spring Green, WI 53588 Phone: 608-588-2502 | |
Cristine L Cornelius, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 E Jefferson St, Spring Green, WI 53588 Phone: 608-588-7413 Fax: 608-588-7609 | |
Luke W Fortney, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 436 Sunrise Dr, Spring Green, WI 53588 Phone: 608-588-2502 | |
Kay M Balink, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 E Jefferson St, Spring Green, WI 53588 Phone: 608-588-7413 Fax: 608-588-7609 | |
Dr. Kennith Miller, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 156 W Jefferson St, Spring Green, WI 53588 Phone: 608-588-2600 Fax: 608-588-2644 |