Mary A Woodman (NPI# 1922329861, PAC ID# 0143419895) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1922329861 |
| PAC ID by PECOS | 0143419895 |
| Professional Enrollment ID | I20110111000443 |
| Full Name | Mary A Woodman |
| Organization Legal Name | IHC BEAVER DAM EMERGENCY PHYSICIANS LLC |
| Address |
707 S University Ave Beaver Dam Comm Hosp Beaver Dam WI 53916-3027 |
| Phone Number | 9208877181 |
| Gender | F |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8123129657 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520076 | BEAVER DAM COMMUNITY HOSPITAL |
| 520044 | ST NICHOLAS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 707 S University Ave, Beaver Dam Comm Hosp, Beaver Dam, WI 53916-3027 | 9208877181 | IHC BEAVER DAM EMERGENCY PHYSICIANS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | IHC BEAVER DAM EMERGENCY PHYSICIANS LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric R Kotal | Emergency Medicine | Ihc Beaver Dam Emergency Physicians LLC | 707 S University Ave, Beaver Dam Comm Hosp, Beaver Dam, WI 53916-3027 |
| Tracy L Crombie | Physician Assistant | Ihc Beaver Dam Emergency Physicians LLC | 707 S University Ave, Beaver Dam Comm Hosp, Beaver Dam, WI 53916-3027 |
| Gerard W Dynkowski | Emergency Medicine | Ihc Beaver Dam Emergency Physicians LLC | 707 S University Ave, Beaver Dam Comm Hosp, Beaver Dam, WI 53916-3027 |
| Michael E Traktman | Emergency Medicine | Ihc Beaver Dam Emergency Physicians LLC | 707 S University Ave, Beaver Dam Comm Hosp, Beaver Dam, WI 53916-3027 |
| Laura B Schultz | Physician Assistant | Ihc Beaver Dam Emergency Physicians LLC | 707 S University Ave, Beaver Dam Comm Hosp, Beaver Dam, WI 53916-3027 |
| Laura E Correa | Emergency Medicine | Ihc Beaver Dam Emergency Physicians LLC | 707 S University Ave, Beaver Dam Comm Hosp, Beaver Dam, WI 53916-3027 |
| Michael J Nielsen | Physician Assistant | Ihc Beaver Dam Emergency Physicians LLC | 707 S University Ave, Beaver Dam Comm Hosp, Beaver Dam, WI 53916-3027 |
| Street Address |
707 S UNIVERSITY AVE BEAVER DAM COMM HOSP |
| City | BEAVER DAM |
| State | WI |
| Zip | 53916-3027 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alyssa M Huber | Physician Assistant | Beaver Dam Community Hospitals Inc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| James P Manderle | Certified Registered Nurse Anesthetist (crna) | Ihc Beaver Dam Anesthesia and Pain Management Services LLC | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Bhanu Paladugu | Internal Medicine | Beaver Dam Community Hospitals Inc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Lucia Zdrazilova | Anesthesiology | Ihc Beaver Dam Anesthesia and Pain Management Services LLC | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Patrick A Leonberger | Internal Medicine | Beaver Dam Community Hospitals Inc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Lori Claire Lee | General Surgery | Beaver Dam Community Hospitals Inc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Joseph M Puccinelli | Orthopedic Surgery | Beaver Dam Community Hospitals Inc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Marc Andrew Young | General Surgery | Beaver Dam Community Hospitals Inc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Jennifer L Woldt | Nurse Practitioner | Beaver Dam Community Hospitals Inc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Judy A Macdonald | Nurse Practitioner | Beaver Dam Community Hospitals Inc | 707 S University Ave, Beaver Dam, WI 53916-3027 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan Mark Kluewer | Chiropractic | 1229 N Ctr St, Beaver Dam, WI 53916-1147 | |
| Jill A Rubert | Chiropractic | Rubert Chiropractic Ltd | 1229 N Ctr St, Beaver Dam, WI 53916-1147 |
| Thomas W Hyke | Physical Therapy | Physical Therapy Solutions, Inc | 108 Parallel St, Beaver Dam, WI 53916-1335 |
| Kimberly Ruth Schoenberger | Physical Therapy | Physical Therapy Solutions, Inc | 108 Parallel St, Beaver Dam, WI 53916-1335 |
| Leon S Kuhs | Psychiatry | Agnesian Healthcare Inc | 200 Front St, 3d, Beaver Dam, WI 53916-1667 |
| James O Niemeier | Clinical Psychologist | Agnesian Healthcare Inc | 200 Front St, 3d, Beaver Dam, WI 53916-1667 |
| Jerome Edward Tyjeski | Chiropractic | 119 E Mackie St, Beaver Dam, WI 53916-2031 | |
| Matthew C Niesen | Orthopedic Surgery | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Brianne Trevorrow | Physical Therapy | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Bret A Achterberg | Physical Therapy | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Find all physicians in zip 53916 | |||
| City | BEAVER DAM |
| Zip Code | 53916 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BEAVER DAM + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Mary A Woodman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.