| Telemedico Physicians Of Wisconsin Sc | |
|
301 S Bedford St Ste 1 Madison WI 53703-3691 | |
| (847) 386-7744 | |
| Not Available |
| Full Name | Telemedico Physicians Of Wisconsin Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 301 S Bedford St Ste 1, Madison, Wisconsin |
| Authorized Official Name and Position | Joel C Okner (PRESIDENT) |
| Authorized Official Contact | 8473867744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Telemedico Physicians Of Wisconsin Sc 550 W Frontage Rd Ste 3520 Northfield IL 60093-1244 Ph: (847) 386-7744 | Telemedico Physicians Of Wisconsin Sc 301 S Bedford St Ste 1 Madison WI 53703-3691 Ph: (847) 386-7744 |
| NPI Number | 1215414727 |
|---|---|
| Provider Enumeration Date | 07/26/2018 |
| Last Update Date | 04/19/2023 |
| Medicare PECOS PAC ID | 7719238575 |
|---|---|
| Medicare Enrollment ID | O20180918004312 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215414727 | NPI | - | NPPES |
| Provider Name | Joel Okner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699783126 PECOS PAC ID: 3274433958 Enrollment ID: I20160718000305 |
| Provider Name | Sara Serota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366106239 PECOS PAC ID: 6305234758 Enrollment ID: I20221026002398 |
| Provider Name | Emily Catherine Kubacki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447038005 PECOS PAC ID: 5991159360 Enrollment ID: I20231004000879 |
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