| David W Andrews, PAC | |
|
614 Memorial Dr, Chilton, WI 53014-1568 | |
| (920) 849-3800 | |
| (989) 340-1214 |
| Full Name | David W Andrews |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 614 Memorial Dr, Chilton, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760482095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-12351 (North Carolina) | Primary |
| 363A00000X | Physician Assistant | 1064-023 (Wisconsin) | Secondary |
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| Entity Name | Aurora Medical Center of Oshkosh Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275578064 PECOS PAC ID: 7113837378 Enrollment ID: O20031111000585 |
| Entity Name | Aurora Health Care Central, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922053107 PECOS PAC ID: 4688583677 Enrollment ID: O20040308000588 |
| Entity Name | Ascension Calumet Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376541748 PECOS PAC ID: 7416948427 Enrollment ID: O20040809000191 |
| Entity Name | Ascension Ne Wisconsin, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407803638 PECOS PAC ID: 7719897784 Enrollment ID: O20061027000037 |
| Mailing Address | Practice Location Address |
|---|---|
| David W Andrews, PAC 614 Memorial Dr, Chilton, WI 53014-1568 Ph: (920) 849-3800 | David W Andrews, PAC 614 Memorial Dr, Chilton, WI 53014-1568 Ph: (920) 849-3800 |