| Brendan J Nashold, PA-C | |
|
130 Corporate Dr, Beaver Dam, WI 53916-3116 | |
| (920) 877-3102 | |
| (920) 885-8790 |
| Full Name | Brendan J Nashold |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 31 Years |
| Location | 130 Corporate Dr, Beaver Dam, 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 |
|---|---|---|---|
| 1760433189 | NPI | - | NPPES |
| 1760433189 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 861-023 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health At Home Home Health-wisconsin | Madison, WI | Home health agency |
| Prairie Ridge Health | Columbus, WI | Hospital |
| Ssm Health Waupun Memorial Hospital | Waupun, WI | Hospital |
| Marshfield Medical Center - Beaver Dam | Beaver dam, WI | Hospital |
| Ssm Health St Agnes Hospital-fond Du Lac | Fond du lac, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Agnesian Healthcare Inc | 1658289624 | 392 |
| Dean Health Systems Inc | 7012827983 | 1174 |
| Entity Name | Agnesian Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
| Entity Name | Dean Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Brendan J Nashold, PA-C 130 Corporate Dr, Beaver Dam, WI 53916-3116 Ph: (920) 877-3102 | Brendan J Nashold, PA-C 130 Corporate Dr, Beaver Dam, WI 53916-3116 Ph: (920) 877-3102 |
Paige Smithback, Physician Assistant Medicare: Medicare Enrolled Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-887-6606 |
Tracy L Crombie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 414-290-6720 Fax: 414-290-6755 |
Bridget M Kilbride, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 109 Warren St Ste 1, Beaver Dam, WI 53916 Phone: 920-885-2622 Fax: 920-885-4419 |
Mrs. Sharon M Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-887-7181 |
Jami Nicole Burg, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-219-4009 |
Douglas J Cronin, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 705 S University Ave, Ste 510, Beaver Dam, WI 53916 Phone: 920-887-3102 Fax: 920-885-8788 |
Andrew T Tratar, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 134 Corporate Dr, Beaver Dam, WI 53916 Phone: 920-356-1000 |