| Martin Raymond Dittmer, MD | |
|
700 West Avenue S, La Crosse, WI 54601-8806 | |
| (608) 785-0940 | |
| Not Available |
| Full Name | Martin Raymond Dittmer |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 7 Years |
| Location | 700 West Avenue S, La Crosse, 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 |
|---|---|---|---|
| 1083110928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 81728-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System-franciscan Medical Center Inc | La crosse, WI | Hospital |
| Mayo Clinic Health System - Mankato | Mankato, MN | Hospital |
| Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta | Sparta, WI | Hospital |
| Mayo Clinic Health System - Albert Lea And Austin | Albert lea, MN | Hospital |
| Mayo Clinic Health System Eau Claire Hospital | Eau claire, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Health System-southwest Wisconsin Region Inc | 0345152443 | 458 |
| 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 |
|---|---|
| Martin Raymond Dittmer, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Martin Raymond Dittmer, MD 700 West Avenue S, La Crosse, WI 54601-8806 Ph: (608) 785-0940 |
Kurt K Mueller, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Dr. Amy Wentland, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Darius E Wampler, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Dr. Clarence W. Brown Jr., M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
James D Hogan, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Caroline Brumley, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1900 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |