| Vickie Marie Cloutier, MD | |
|
2310 1st Center Ave, Brodhead, WI 53520-1937 | |
| (608) 897-8664 | |
| Not Available |
| Full Name | Vickie Marie Cloutier |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 2310 1st Center Ave, Brodhead, 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 |
|---|---|---|---|
| 1568467850 | NPI | - | NPPES |
| 450030594 | Other | WI | MEDICARE PTAN |
| 34558300 | Other | EDS | |
| 34558300 | Medicaid | WI | |
| 700C610000 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 44889-020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health System Corp | Janesville, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health System Corporation | 7416860440 | 564 |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| 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 |
|---|---|
| Vickie Marie Cloutier, MD 4061 Old Peshtigo Rd, Marinette, WI 54143-3887 Ph: (715) 732-8000 | Vickie Marie Cloutier, MD 2310 1st Center Ave, Brodhead, WI 53520-1937 Ph: (608) 897-8664 |
Robert C Cates Sr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1904 1st Center Ave, Brodhead, WI 53520 Phone: 608-897-2380 | |
Dr. Kevin M Bluemel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2310 1st Center Ave, Brodhead, WI 53520 Phone: 608-897-8664 |