| William C Haselow, MD | |
|
900 W Clairemont Ave, Eau Claire, WI 54701-6122 | |
| (414) 290-6715 | |
| (414) 290-6755 |
| Full Name | William C Haselow |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 900 W Clairemont Ave, Eau Claire, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811942444 | NPI | - | NPPES |
| 930068403 | Other | WI | MEDICARE RAILROAD |
| 31809700 | Medicaid | WI | |
| 930072839 | Other | WI | MEDICARE RAILROAD |
| 930046182 | Other | WI | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 30013-020 (Wisconsin) | Primary |
| 207P00000X | Emergency Medicine | 30013-20 (Wisconsin) | Secondary |
| Entity Name | Door County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093743874 PECOS PAC ID: 5395735088 Enrollment ID: O20040514000588 |
| Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Mailing Address | Practice Location Address |
|---|---|
| William C Haselow, MD 111 E Wisconsin Ave, Suite 2000, Milwaukee, WI 53202-4815 Ph: (414) 290-6720 | William C Haselow, MD 900 W Clairemont Ave, Eau Claire, WI 54701-6122 Ph: (414) 290-6715 |
Thomas K. Hunt, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3802 Oakwood Mall Dr, Eau Claire, WI 54701 Phone: 715-839-9280 | |
Jeffrey J Groshens, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 733 W Clairemont Ave, Eau Claire, WI 54701 Phone: 715-838-5222 | |
Mr. Daniel David Kaisler, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-3311 | |
Michael Arthur Aristides Bezzerides, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Matthew Olmstead, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-3635 | |
Tracy Marko, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Cheryl M Colbenson, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 900 W Clairemont Ave, Eau Claire, WI 54701 Phone: 715-717-4121 |