| Mark K Stevens, MD | |
|
800 West Ave S, La Crosse, WI 54601-8806 | |
| (608) 791-9831 | |
| (608) 791-9814 |
| Full Name | Mark K Stevens |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 800 West Ave S, La Crosse, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568443661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 35110 (Wisconsin) | Primary |
| Entity Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark K Stevens, MD Po Box 1510, Eau Claire, WI 54702-1510 Ph: (608) 785-0940 | Mark K Stevens, MD 800 West Ave S, La Crosse, WI 54601-8806 Ph: (608) 791-9831 |
Michael J Ebersold, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Humbert G Sullivan, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Walter J Faillace, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 Fax: 608-775-4467 | |
Kerry T White, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 Fax: 608-775-4429 | |
Jerry A Davis, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Dr. Douglas George Hughes, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |