| Dr Rebecca Michelle Radue, MD | |
|
1541 Annex Rd, Jefferson, WI 53549-9803 | |
| (920) 723-7417 | |
| (734) 201-1918 |
| Full Name | Dr Rebecca Michelle Radue |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 12 Years |
| Location | 1541 Annex Rd, Jefferson, 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 |
|---|---|---|---|
| 1447678651 | NPI | - | NPPES |
| 100047644 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 65161-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fort Memorial Hospital | Fort atkinson, WI | Hospital |
| Beaver Dam Community Hospital Dba Marshfield Medical Center - Beaver Dam | Beaver dam, WI | Hospital |
| Watertown Memorial Hospital | Watertown, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| County Of Dodge | 2466475587 | 12 |
| Meriter Hospital Inc | 3971412735 | 120 |
| Entity Name | Jefferson County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275614919 PECOS PAC ID: 2264496801 Enrollment ID: O20041115000371 |
| Entity Name | County Of Dodge |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871508515 PECOS PAC ID: 2466475587 Enrollment ID: O20060104000398 |
| Entity Name | Mental Health Emergency Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255099941 PECOS PAC ID: 3274916044 Enrollment ID: O20220922000219 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rebecca Michelle Radue, MD 1541 Annex Rd, Jefferson, WI 53549-9803 Ph: (920) 723-7417 | Dr Rebecca Michelle Radue, MD 1541 Annex Rd, Jefferson, WI 53549-9803 Ph: (920) 723-7417 |
Dr. Melvin A Haggart, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 |