| Ms Emily E Stoddard, MD | |
|
888 Thackeray Trl Ste 103, Oconomowoc, WI 53066-4342 | |
| (262) 567-1499 | |
| (262) 567-4502 |
| Full Name | Ms Emily E Stoddard |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 30 Years |
| Location | 888 Thackeray Trl Ste 103, Oconomowoc, 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 |
|---|---|---|---|
| 1457311441 | NPI | - | NPPES |
| 34417500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 39161 (Wisconsin) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | 39161 (Wisconsin) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 39161 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Watertown Regional Medical Center | Watertown, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Watertown Physician Practices Llc | 8022329408 | 64 |
| Entity Name | Watertown Physician Practices LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Emily E Stoddard, MD 888 Thackeray Trl Ste 103, Oconomowoc, WI 53066-4342 Ph: (262) 567-1499 | Ms Emily E Stoddard, MD 888 Thackeray Trl Ste 103, Oconomowoc, WI 53066-4342 Ph: (262) 567-1499 |
Dr. Stan L Markus, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 888 Thackeray Trl Ste 103, Oconomowoc, WI 53066 Phone: 262-567-1499 Fax: 262-567-4502 |
Ms. Cynthia A Pangallo, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 888 Thackeray Trl Ste 103, Oconomowoc, WI 53066 Phone: 262-567-1499 Fax: 262-567-4502 |