| Timothy A Mical Deering, MD | |
|
2977 County Road Cx, Portage, WI 53901-9271 | |
| (608) 355-3800 | |
| (608) 355-7485 |
| Full Name | Timothy A Mical Deering |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 2977 County Road Cx, Portage, 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 |
|---|---|---|---|
| 1578513982 | NPI | - | NPPES |
| 1578513982 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 41341-020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Agrace Hospicecare | Madison, WI | Hospice |
| University Of Wi Hospitals & Clinics Authority | Madison, WI | Hospital |
| Divine Savior Healthcare | Portage, WI | Hospital |
| Ssm Health St Clare Hospital - Baraboo | Baraboo, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Wisconsin Medical Foundation Inc | 6608785464 | 2380 |
| Entity Name | University Of Wisconsin Medical Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy A Mical Deering, MD 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () - | Timothy A Mical Deering, MD 2977 County Road Cx, Portage, WI 53901-9271 Ph: (608) 355-3800 |
Richard J Qualy, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2977 County Hwy Cx, Portage, WI 53901 Phone: 608-742-3004 Fax: 608-742-2399 | |
Gerald L Krumpos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2825 Hunters Trl, Portage, WI 53901 Phone: 608-742-7161 Fax: 608-745-3060 | |
Dr. Jamie John Kling, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2977 County Hwy Cx, Portage, WI 53901 Phone: 608-742-3004 Fax: 608-742-2399 | |
Dr. Sarah M Haroldson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2825 Hunters Trl, Portage, WI 53901 Phone: 608-742-7161 Fax: 608-745-3990 | |
Dr. Vasilisa Mironovich, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 Fax: 608-745-6393 | |
David D Gregory, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2825 Hunters Trl, Portage, WI 53901 Phone: 608-724-7161 Fax: 608-745-3060 | |
Antonio Escobedo-morse, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2825 Hunters Trl, Portage, WI 53901 Phone: 608-742-7161 Fax: 608-745-3060 |