Wildwood Family Clinic, Sc - Medicare Primary Care in Cottage Grove, WI

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Wildwood Family Clinic, Sc is a medicare enrolled primary clinic (Family Medicine) in Cottage Grove, Wisconsin. The current practice location for Wildwood Family Clinic, Sc is 535 Southing Grange, Cottage Grove, Wisconsin. For appointments, you can reach them via phone at (608) 839-3515. The mailing address for Wildwood Family Clinic, Sc is 535 Southing Grange, Cottage Grove, Wisconsin and phone number is (608) 839-3515.

Wildwood Family Clinic, Sc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1225115124. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (608) 839-3515.

Contact Information

Wildwood Family Clinic, Sc
535 Southing Grange
Cottage Grove
WI 53527-9338
(608) 839-3515
(608) 839-3541

Map and Direction


Primary Care Clinic Profile

Full NameWildwood Family Clinic, Sc
SpecialityFamily Medicine
Location535 Southing Grange, Cottage Grove, Wisconsin
Authorized Official Name and PositionSheryl Green (ADMINISTRATOR)
Authorized Official Contact6082211501
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wildwood Family Clinic, Sc
535 Southing Grange
Cottage Grove
WI 53527-9338

Ph: (608) 839-3515		Wildwood Family Clinic, Sc
535 Southing Grange
Cottage Grove
WI 53527-9338

Ph: (608) 839-3515

NPI Details:

NPI Number1225115124
Provider Enumeration Date11/01/2006
Last Update Date08/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID9537137484
Medicare Enrollment IDO20040920000493

Medical Identifiers

Medical identifiers for Wildwood Family Clinic, Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225115124NPI-NPPES
32721000MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Wildwood Family Clinic, Sc acts as a billing entity for following providers:
Provider NameRobert W Cambray
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194712786
PECOS PAC ID: 2961491931
Enrollment ID: I20040506001260
Provider NameSarah E Lowery
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538138904
PECOS PAC ID: 2567462583
Enrollment ID: I20061221000453
Provider NameDonna M Frisque
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710922166
PECOS PAC ID: 0749281459
Enrollment ID: I20070124000092
Provider NameSusan E Hardel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023046232
PECOS PAC ID: 7416958137
Enrollment ID: I20070124000151
Provider NameKimberly J Devault
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083659437
PECOS PAC ID: 0840291571
Enrollment ID: I20070124000273
Provider NameDorothy J Mallory
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831139039
PECOS PAC ID: 7618979725
Enrollment ID: I20070202000099
Provider NameChristina D Hook
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194946988
PECOS PAC ID: 6204928906
Enrollment ID: I20070827000354
Provider NameLeila R Midelfort
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891735841
PECOS PAC ID: 3779628292
Enrollment ID: I20100308000587
Provider NameRobert Z Edwards
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659340719
PECOS PAC ID: 8921134164
Enrollment ID: I20100327000038
Provider NameKaren Lentfer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245289008
PECOS PAC ID: 5395713259
Enrollment ID: I20101204000026
Provider NameLynda Siewert
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225087893
PECOS PAC ID: 1951379817
Enrollment ID: I20101204000031
Provider NameSteven P Siewert
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861442931
PECOS PAC ID: 9931177896
Enrollment ID: I20110218000750
Provider NameJason A Hampton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689838492
PECOS PAC ID: 4385813773
Enrollment ID: I20110801000331
Provider NameKristina K Nilsson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1083756282
PECOS PAC ID: 8729258793
Enrollment ID: I20110830000486
Provider NameBryan J Webster
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275845497
PECOS PAC ID: 3678708880
Enrollment ID: I20131024000584
Provider NameAlexandra Ilkevitch
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1750686648
PECOS PAC ID: 7517190424
Enrollment ID: I20140630001644
Provider NameAndrew B Schmitt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447543020
PECOS PAC ID: 4486873130
Enrollment ID: I20140912000049
Provider NameStuart Midthun Mitchell
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1730134958
PECOS PAC ID: 8022021294
Enrollment ID: I20150402000861
Provider NameAnthony James Sturm
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619243474
PECOS PAC ID: 2466676770
Enrollment ID: I20150716001915
Provider NameJulia G Mcmillen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194014316
PECOS PAC ID: 8921311887
Enrollment ID: I20160830002734
Provider NameStefanie Lynn Haima
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912219122
PECOS PAC ID: 8325231814
Enrollment ID: I20161114002469
Provider NameAnne Britt Reichhoff
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639482953
PECOS PAC ID: 4284911793
Enrollment ID: I20170511000795
Provider NameAmanjeet K Kaleka
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801020425
PECOS PAC ID: 1456506542
Enrollment ID: I20171031000040
Provider NameSean Preisler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801288287
PECOS PAC ID: 3173870268
Enrollment ID: I20180720000165
Provider NameTeresa Riley
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396914172
PECOS PAC ID: 5698169506
Enrollment ID: I20220218000298

Reviews and Comments


Family Medicine in Cottage Grove, WI

Mabie Pharmacy, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 429 W Cottage Grove Rd, Cottage Grove, WI 53527
Phone: 608-839-3335    
Sheryl Spitzer -resnick Md, Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 251 East Cottage Grove Road, Cottage Grove, WI 53527
Phone: 608-839-3515    Fax: 608-839-3541

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.