| Marlise K Davidson-fiedler, MD | |
|
1000 Mineral Point Ave, Janesville, WI 53548 | |
| (608) 756-6611 | |
| (608) 756-6177 |
| Full Name | Marlise K Davidson-fiedler |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 10 Years |
| Location | 1000 Mineral Point Ave, Janesville, 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 |
|---|---|---|---|
| 1528590908 | NPI | - | NPPES |
| 1528590908 | Other | WI | BCBSWI |
| 1528590908 | Medicaid | WI | |
| 1157 | Other | WI | MERCYCARE INSURANCE |
| K400429384 | Other | WI | WI MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | T9834 (Texas) | Secondary |
| 208M00000X | Hospitalist | 67824-20 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 67824-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stoughton Hospital | Stoughton, WI | Hospital |
| Mercy Health System Corp | Janesville, WI | Hospital |
| Freestone Medical Center | Fairfield, TX | Hospital |
| Frio Regional Hospital | Pearsall, TX | Hospital |
| Morehouse General Hospital | Bastrop, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stoughton Hospital Association | 7012825706 | 50 |
| Mercy Health System Corporation | 7416860440 | 564 |
| Beam Healthcare, Sc | 2961852785 | 20 |
| Morton County Hospital | 5395644637 | 8 |
| Morehouse General Hospital | 4284528274 | 22 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Entity Name | Reedsburg Area Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891796710 PECOS PAC ID: 9830008259 Enrollment ID: O20031208000083 |
| Entity Name | Stoughton Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679558647 PECOS PAC ID: 7012825706 Enrollment ID: O20040402001358 |
| Entity Name | Beam Healthcare, Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275159998 PECOS PAC ID: 2961852785 Enrollment ID: O20231220000926 |
| Mailing Address | Practice Location Address |
|---|---|
| Marlise K Davidson-fiedler, MD 1000 Mineral Point Ave, Janesville, WI 53548-2940 Ph: (608) 756-6611 | Marlise K Davidson-fiedler, MD 1000 Mineral Point Ave, Janesville, WI 53548 Ph: (608) 756-6611 |
Dr. Lawrence M Shea, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3524 E Milwaukee St, Janesville, WI 53546 Phone: 608-756-7100 | |
Dr. Daniel J Kulas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 849 Kellogg Ave, Janesville, WI 53546 Phone: 608-755-7960 | |
Dr. Timothy S Reid, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1010 N Washington St, Janesville, WI 53548 Phone: 608-741-6799 | |
Dr. Shane M Durkes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 849 Kellogg Ave, Janesville, WI 53546 Phone: 608-755-7960 | |
Saad Mohsin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 849 Kellogg Ave, Janesville, WI 53546 Phone: 608-755-7960 Fax: 608-755-7873 | |
Setareh Saeian, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 849 Kellogg Ave, Janesville, WI 53546 Phone: 608-758-8565 | |
Marsha M. Landvatter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 849 Kellogg Ave, Janesville, WI 53546 Phone: 608-755-7960 Fax: 608-755-7873 |