Beau D Boedecker (NPI# 1093012734, PAC ID# 3173701638) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1093012734 |
| PAC ID by PECOS | 3173701638 |
| Professional Enrollment ID | I20110705000077 |
| Full Name | Beau D Boedecker |
| Organization Legal Name | SHEKHAR A DAGAM MD NEUROLOGICAL SURGERY SC |
| Address |
125 Hospital Dr Watertown WI 53098-3303 |
| Phone Number | 4144881818 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7012903412 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520051 | COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE |
| 520138 | AURORA ST LUKES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4600 W Loomis Rd, Suite 101, Greenfield, WI 53220-4858 | 4144881818 | SHEKHAR A DAGAM MD NEUROLOGICAL SURGERY SC |
| 125 Hospital Dr, Watertown, WI 53098-3303 | 4144881818 | SHEKHAR A DAGAM MD NEUROLOGICAL SURGERY SC |
| Organization Legal Name | SHEKHAR A DAGAM MD NEUROLOGICAL SURGERY SC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shekhar A Dagam | Neurosurgery | Shekhar A Dagam Md Neurological Surgery Sc | 975 Port Washington Rd, Suite 410, Grafton, WI 53024-9201 |
| Street Address |
125 HOSPITAL DR |
| City | WATERTOWN |
| State | WI |
| Zip | 53098-3303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John V Selthafner | Anesthesiology | Sheridan Healthcare Services of Wisconsin Sc | 125 Hospital Dr, Watertown, WI 53098-3303 |
| James S Heinzen | Emergency Medicine | Emergency Physician Associates of Wisconsin Sc | 125 Hospital Dr, Watertown, WI 53098-3303 |
| Andrew J Adamson | Diagnostic Radiology | Radiology Waukesha Sc | 125 Hospital Dr, Watertown, WI 53098-3303 |
| John R Basarich | Hospitalist | Apogee Medical Group Wisconsin Sc | 125 Hospital Dr, Watertown, WI 53098-3303 |
| Kimi Brouhard | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare Services of Wisconsin Sc | 125 Hospital Dr, Watertown, WI 53098-3303 |
| Brian P Curtin | Interventional Pain Management | Metropolitan Watertown LLC | 125 Hospital Dr, Watertown, WI 53098-3303 |
| Carrie B Voedisch | Physician Assistant | Digestive Health Partners Pa | 125 Hospital Dr, Spruce Pine, NC 28777-3035 |
| Heather E Avellone | Nurse Practitioner | Apogee Medical Group Wisconsin Sc | 125 Hospital Dr, Watertown, WI 53098-3303 |
| Jason D Mclott | Certified Registered Nurse Anesthetist (crna) | Mission Community Anesthesiology Specialists LLC | 125 Hospital Dr, Spruce Pine, NC 28777-3035 |
| Kathleen E Pugh | Nurse Practitioner | Metropolitan Watertown LLC | 125 Hospital Dr, Watertown, WI 53098-3303 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce S Bencriscutto | Chiropractic | 612 N Church St, Watertown, WI 53098-2111 | |
| Claire N Petersen | Chiropractic | 612 N Church St, Watertown, WI 53098-2111 | |
| Jeremy Wojtecki | Physician Assistant | Oak Medical Sc | 121 Hospital Dr, Watertown, WI 53098-3303 |
| Robert Legrow | Family Medicine | Watertown Family Practice Associates, Sc | 127 Hospital Dr, Watertown, WI 53098-3303 |
| Danielle G Tonelli | Family Medicine | Watertown Family Practice Associates, Sc | 127 Hospital Dr, Watertown, WI 53098-3303 |
| Michael E Sullivan | Family Medicine | Watertown Family Practice Associates, Sc | 127 Hospital Dr, Watertown, WI 53098-3303 |
| Beth M Pape | Nurse Practitioner | Apogee Medical Group Wisconsin Sc | 125 Hospital Dr, Watertown, WI 53098-3303 |
| Edward J Foster | Emergency Medicine | Emergency Physician Associates of Wisconsin Sc | 125 Hospital Dr, Watertown, WI 53098-3303 |
| Robert B Allen | Emergency Medicine | Emergency Physician Associates of Wisconsin Sc | 125 Hospital Dr, Watertown, WI 53098-3303 |
| Fahad M Iqbal | Cardiovascular Disease (cardiology) | Emergency Physician Associates of Wisconsin Sc | 125 Hospital Dr, Watertown, WI 53098-3303 |
| Find all physicians in zip 53098 | |||
| City | WATERTOWN |
| Zip Code | 53098 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WATERTOWN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Beau D Boedecker.
| 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.