| Mary A Woodman, PA-C | |
|
707 S University Ave, Beaver Dam, WI 53916-3027 | |
| (414) 290-6720 | |
| (414) 290-6755 |
| Full Name | Mary A Woodman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 707 S University Ave, Beaver Dam, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922329861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2572-23 (Wisconsin) | Primary |
| Entity Name | Edgerton Hospital and Health Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154350049 PECOS PAC ID: 7719874502 Enrollment ID: O20040304000743 |
| Entity Name | Stoughton Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679558647 PECOS PAC ID: 7012825706 Enrollment ID: O20040402001358 |
| Entity Name | Madison Emergency Physicians SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588646095 PECOS PAC ID: 4587631858 Enrollment ID: O20040915000748 |
| Entity Name | Southern Wisconsin Emergency Associates SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568538189 PECOS PAC ID: 3274561055 Enrollment ID: O20050802000934 |
| Entity Name | Upland Hills Health Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1659472397 PECOS PAC ID: 3072415553 Enrollment ID: O20061104000406 |
| Entity Name | Ihc Beaver Dam Emergency Physicians, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912109836 PECOS PAC ID: 8123129657 Enrollment ID: O20070727000027 |
| Entity Name | Upland Hills Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821258740 PECOS PAC ID: 3072415553 Enrollment ID: O20081016000442 |
| Entity Name | Stoughton Hospital Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1679558647 PECOS PAC ID: 7012825706 Enrollment ID: O20100106000471 |
| Entity Name | Edgerton Hospital and Health Services, Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154350049 PECOS PAC ID: 7719874502 Enrollment ID: O20110318000342 |
| Entity Name | Prairie Ridge Health Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1841376183 PECOS PAC ID: 6800791484 Enrollment ID: O20120307000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary A Woodman, PA-C 111 E Wisconsin Ave, Suite 2000, Milwaukee, WI 53202-4815 Ph: (414) 290-6720 | Mary A Woodman, PA-C 707 S University Ave, Beaver Dam, WI 53916-3027 Ph: (414) 290-6720 |
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 |