| Shawn Douglas Antle, MD | |
|
Beloit Memorial Hospital, 1969 W. Hart Road, Beloit, WI 53511-2230 | |
| (608) 363-5971 | |
| (608) 363-5737 |
| Full Name | Shawn Douglas Antle |
|---|---|
| Gender | Male |
| Speciality | Geriatric Medicine |
| Experience | 35 Years |
| Location | Beloit Memorial Hospital, Beloit, 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 |
|---|---|---|---|
| 1336163922 | NPI | - | NPPES |
| 1336163922 | Medicaid | WI | |
| 34513100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 46666020 (Wisconsin) | Secondary |
| 208M00000X | Hospitalist | 46666-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaver Dam Community Hospital Dba Marshfield Medical Center - Beaver Dam | Beaver dam, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beaver Dam Community Hospitals Inc. | 2567370539 | 64 |
| Entity Name | Beaver Dam Community Hospitals Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972188555 PECOS PAC ID: 2567370539 Enrollment ID: O20040210000666 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Douglas Antle, MD Beloit Health System Inc., 1905 E. Huebbe Parkway, Beloit, WI 53511-1842 Ph: (608) 364-2200 | Shawn Douglas Antle, MD Beloit Memorial Hospital, 1969 W. Hart Road, Beloit, WI 53511-2230 Ph: (608) 363-5971 |
Margaret M Pearsall, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: Beloit Memorial Hospital, 1969 W. Hart Road, Beloit, WI 53511 Phone: 608-363-5971 Fax: 608-363-5737 | |
Terra E. Green, N.P. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1905 E Huebbe Pkwy, Beloit Clinic, Beloit, WI 53511 Phone: 608-364-2240 Fax: 608-363-7374 | |
Dr. Barbara J Higgins, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-364-5011 Fax: 608-364-5971 | |
Dr. Brian N Ebo, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: Beloit Health Systems Inc, 1969 W Hart Road, Beloit, WI 53511 Phone: 608-363-5971 Fax: 608-363-5737 | |
Dr. Andrew Valliyil, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-364-5689 | |
Dr. Rebecca Olowu, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 608-364-5689 | |
Dr. Hanim Kedir Apple, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: Beloit Health System Inc., 1969 W Hart Road, Beloit, WI 53511 Phone: 608-363-5971 Fax: 608-363-5737 |