| Samantha D Hudrlik, | |
|
1910 South Ave, La Crosse, WI 54601-5467 | |
| (608) 782-7300 | |
| Not Available |
| Full Name | Samantha D Hudrlik |
|---|---|
| Gender | Female |
| Speciality | Critical Care (intensivists) |
| Experience | 12 Years |
| Location | 1910 South Ave, La Crosse, 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 |
|---|---|---|---|
| 1639519325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 5101020512 (Michigan) | Secondary |
| 208600000X | Surgery | 69776 (Minnesota) | Primary |
| 208600000X | Surgery | 72068 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
| Memorial Medical Center | Ashland, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Duluth Clinic Ltd | 2567374283 | 957 |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha D Hudrlik, 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Samantha D Hudrlik, 1910 South Ave, La Crosse, WI 54601-5467 Ph: (608) 782-7300 |
Benjamin T Jarman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-775-2331 | |
Jamie Lynn Knuth Prather, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Jeffrey Landercasper, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Jared Richard Miller, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Stephen B Shapiro, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
William C Boyd, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 Fax: 608-775-4467 | |
Dr. Andrew David Morris, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 |