| Angela M Clark, PA | |
|
1121 Bellwest Blvd, Belleville, WI 53508-9433 | |
| (608) 424-3384 | |
| Not Available |
| Full Name | Angela M Clark |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 1121 Bellwest Blvd, Belleville, 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 |
|---|---|---|---|
| 1235195835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1497-23 (Wisconsin) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 1497 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Wi Hospitals & Clinics Authority | Madison, WI | Hospital |
| Ssm Health Monroe Hospital | Monroe, WI | Hospital |
| Unitypoint Health - Meriter | Madison, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Wisconsin Medical Foundation Inc | 6608785464 | 2537 |
| 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 |
|---|---|
| Angela M Clark, PA 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: Not Available | Angela M Clark, PA 1121 Bellwest Blvd, Belleville, WI 53508-9433 Ph: (608) 424-3384 |
Lisa Ann Witkowski, MPAS, PA-C, LPC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1121 Bellwest Blvd, Belleville, WI 53508 Phone: 608-424-3384 |