| Emergency Medicine Of Racine Sc | |
|
3807 Spring St Mount Pleasant WI 53405-1667 | |
| (262) 687-8150 | |
| Not Available |
| Full Name | Emergency Medicine Of Racine Sc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 3807 Spring St, Mount Pleasant, Wisconsin |
| Authorized Official Name and Position | Stephen G Holtzclaw (PRESIDENT) |
| Authorized Official Contact | 9543772927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emergency Medicine Of Racine Sc 307 S Evergreen Ave Woodbury NJ 08096-2739 Ph: (856) 686-4306 | Emergency Medicine Of Racine Sc 3807 Spring St Mount Pleasant WI 53405-1667 Ph: (262) 687-8150 |
| NPI Number | 1598102717 |
|---|---|
| Provider Enumeration Date | 05/29/2013 |
| Last Update Date | 06/03/2013 |
| Medicare PECOS PAC ID | 8527202142 |
|---|---|
| Medicare Enrollment ID | O20130923000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598102717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
| Provider Name | Angela R Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053501866 PECOS PAC ID: 5193817369 Enrollment ID: I20070816000896 |
| Provider Name | Kelly J Vold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962634428 PECOS PAC ID: 6305983008 Enrollment ID: I20091029000321 |
| Provider Name | Joseph T Humphrey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477610434 PECOS PAC ID: 0749418069 Enrollment ID: I20141028002656 |
| Provider Name | Matthew Clark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902224231 PECOS PAC ID: 7214220714 Enrollment ID: I20170602001578 |
| Provider Name | Katrina M Merkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033688056 PECOS PAC ID: 0345585899 Enrollment ID: I20190102002932 |
Medical Support Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13203 Globe Dr, Suite 111, Mount Pleasant, WI 53177 Phone: 262-287-0090 Fax: 262-923-1939 | |
Mark E Decheck Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3805b Spring St Ste 250, Mount Pleasant, WI 53405 Phone: 262-687-8685 Fax: 262-634-7935 | |
5 Elements Health & Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1524 S Green Bay Rd, Back In Action/5 Elements, Mount Pleasant, WI 53406 Phone: 262-884-7580 Fax: 262-884-7589 | |
Drs Decheck And Mataczynski Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3805b Spring St, Suite250, Mount Pleasant, WI 53405 Phone: 262-634-6679 Fax: 262-634-7935 | |
Badger Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 S Green Bay Rd, #205, Mount Pleasant, WI 53406 Phone: 347-276-9281 Fax: 414-247-9004 | |
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