| Medical Support Services Inc | |
|
13203 Globe Dr Suite 111 Mount Pleasant WI 53177-1616 | |
| (262) 287-0090 | |
| (262) 923-1939 |
| Full Name | Medical Support Services Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13203 Globe Dr, Mount Pleasant, Wisconsin |
| Authorized Official Name and Position | Linda K Niemela (CEO) |
| Authorized Official Contact | 2622870090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Support Services Inc 13203 Globe Dr Suite 111 Mount Pleasant WI 53177-1616 Ph: (262) 287-0090 | Medical Support Services Inc 13203 Globe Dr Suite 111 Mount Pleasant WI 53177-1616 Ph: (262) 287-0090 |
| NPI Number | 1114143781 |
|---|---|
| Provider Enumeration Date | 04/18/2007 |
| Last Update Date | 05/03/2023 |
| Certification Date | 05/03/2023 |
| Medicare PECOS PAC ID | 8426302969 |
|---|---|
| Medicare Enrollment ID | O20181119002798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114143781 | NPI | - | NPPES |
| 100213523 | Medicaid | WI | |
| 41205000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | () | Primary |
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