| Desiree Phillips, PA | |
|
700 Buffalo St, Mondovi, WI 54755-1371 | |
| (715) 597-3121 | |
| Not Available |
| Full Name | Desiree Phillips |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 700 Buffalo St, Mondovi, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477533008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1277 (Wisconsin) | Primary |
| Entity Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235588831 PECOS PAC ID: 4385553627 Enrollment ID: O20161109002075 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154372944 PECOS PAC ID: 4385553627 Enrollment ID: O20171012000001 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1912958026 PECOS PAC ID: 4385553627 Enrollment ID: O20171012000215 |
| Mailing Address | Practice Location Address |
|---|---|
| Desiree Phillips, PA 200 1st St Sw, Rochester, MN 55905-0001 Ph: (715) 838-5222 | Desiree Phillips, PA 700 Buffalo St, Mondovi, WI 54755-1371 Ph: (715) 597-3121 |
Brian Felix Robinson, SA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: S725 Turner Valley Rd, Mondovi, WI 54755 Phone: 715-946-3130 |