Shawn Sedgwick (NPI# 1679559298, PAC ID# 3072595677) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1679559298 |
PAC ID by PECOS | 3072595677 |
Professional Enrollment ID | I20080916000266 |
Full Name | Shawn Sedgwick |
Organization Legal Name | VERNON MEMORIAL HEALTHCARE INC |
Address |
206 N Mill St La Farge WI 54639 |
Phone Number | 6086252494 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
Graduation Year | 1994 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 8325958416 |
Number of Group Practice Members | 54 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
521348 | VERNON MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
206 N Mill St, La Farge, WI 54639 | 6086252494 | VERNON MEMORIAL HEALTHCARE INC |
507 S Main St, Viroqua, WI 54665-2059 | 6086372101 | VERNON MEMORIAL HEALTHCARE INC |
Organization Legal Name | VERNON MEMORIAL HEALTHCARE INC |
Physicians | 32 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joel W Charles | Family Medicine | Vernon Memorial Healthcare Inc | 102 Sunset Ave, Soldiers Grove, WI 54655-1400 |
Arnold H Nomann | Certified Registered Nurse Anesthetist (crna) | Vernon Memorial Healthcare Inc | 507 S Main St, Viroqua, WI 54665-2059 |
Bernadette L Adams | Nurse Practitioner | Vernon Memorial Healthcare Inc | 100 Melby St, Westby, WI 54667-1012 |
James M Deline | Family Medicine | Vernon Memorial Healthcare Inc | 206 N Mill St, La Farge, WI 54639 |
Brian L Miller | Certified Registered Nurse Anesthetist (crna) | Vernon Memorial Healthcare Inc | 507 S Main St, Viroqua, WI 54665-2059 |
David E Chakoian | Family Medicine | Vernon Memorial Healthcare Inc | 102 Sunset Ave, Soldiers Grove, WI 54655-1400 |
Elizabeth Roberts | Family Medicine | Vernon Memorial Healthcare Inc | 507 S Main St, Viroqua, WI 54665-2059 |
Anthony L Macasaet | Emergency Medicine | Vernon Memorial Healthcare Inc | 507 S Main St, Viroqua, WI 54665-2059 |
Cheryl L Hagerman | Clinical Social Worker | Vernon Memorial Healthcare Inc | 407 S Main St, Suite 400, Viroqua, WI 54665-4000 |
Erin R Swiggum | Nurse Practitioner | Vernon Memorial Healthcare Inc | 407 S Main St, Suite 400, Viroqua, WI 54665-4000 |
Street Address |
206 N MILL ST |
City | LA FARGE |
State | WI |
Zip | 54639 |
Name | Specialty | Organization | Address |
---|---|---|---|
James M Deline | Family Medicine | Vernon Memorial Healthcare Inc | 206 N Mill St, La Farge, WI 54639 |
Taryn A Lawler | Family Medicine | Vernon Memorial Healthcare Inc | 206 N Mill St, La Farge, WI 54639 |
Tamsen W Morgan | Physician Assistant | Vernon Memorial Healthcare Inc | 206 N Mill St, La Farge, WI 54639 |
Kelly M Scheder | Nurse Practitioner | Vernon Memorial Healthcare Inc | 206 N Mill St, La Farge, WI 54639 |
City | LA FARGE |
Zip Code | 54639 |
Specialty | FAMILY MEDICINE |
City + Specialty | LA FARGE + FAMILY MEDICINE |
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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.