Michael Faudree, MD is a
Family Medicine physician based in Black Creek, Wisconsin. Michael Faudree is licensed to practice in Wisconsin (license number 19672) and his current practice location is 400 S Maple St, Black Creek, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 984-3361.
NPI number for Michael Faudree is 1306874680 and his current mailing address is Po Box 8003, Appleton, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306874680.
Physician's Profile
| Full Name | Michael Faudree |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 400 S Maple St, Black Creek, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306874680
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Michael Faudree such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306874680 | NPI | - | NPPES |
| 30136600 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 19672 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Faudree is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael Faudree, MD
Po Box 8003,
Appleton, WI 54912-8003
Ph: (920) 996-3298 | Michael Faudree, MD
400 S Maple St,
Black Creek, WI 54106-9787
Ph: (920) 984-3361 |
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