Andrea L Dettman (NPI# 1770952442, PAC ID# 4688974652) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1770952442 |
| PAC ID by PECOS | 4688974652 |
| Professional Enrollment ID | I20151123002044 |
| Full Name | Andrea L Dettman |
| Organization Legal Name | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| Address |
601 Handeyside Ln Fort Atkinson WI 53538-1273 |
| Phone Number | 9205635544 |
| Gender | F |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6608785464 |
| Number of Group Practice Members | 1845 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520098 | UNIVERSITY OF WI HOSPITALS & CLINICS AUTHORITY |
| 520089 | MERITER HOSPITAL |
| 520071 | FORT MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 705 S University Ave, Suite 200, Beaver Dam, WI 53916-3079 | 9208879272 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 601 Handeyside Ln, Fort Atkinson, WI 53538-1273 | 9205635544 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 1 S Park St, Madison, WI 53715-1375 | 6082872000 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 1102 S Park, Floors 2 and 4, Madison, WI 53715-1714 | 6082875899 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 1102 S Park St, Madison, WI 53715-1714 | 6082872770 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 20 S Park St, Madison, WI 53715-1348 | 6082872076 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 2402 Winnebago St, Madison, WI 53704-5341 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC | |
| 3209 Dryden Dr, Madison, WI 53704-3015 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC | |
| 451 Junction Rd, Madison, WI 53717-2656 | 6082657700 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 5249 E Terrace Dr, Madison, WI 53718-8339 | 6082651295 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 5618 Odana Rd, Madison, WI 53719-1208 | 6082741100 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 600 Highland Ave, Madison, WI 53792-0001 | 6082636400 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 7102 Mineral Point Rd, Madison, WI 53717-1706 | 6088287603 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 1050 E Broadway, Monona, WI 53716-4023 | 6082228779 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 137 S Main St, Oregon, WI 53575-1534 | 6088355588 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 2977 County Hwy Cx, Portage, WI 53901-9271 | 6082872770 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 1001 Nygaard St, Stoughton, WI 53589-5495 | 6088772660 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| 4131 Meridian Dr, Windsor, WI 53598-9699 | 6088463741 | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| Organization Legal Name | UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION INC |
| Physicians | 1953 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Ann Nowak | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 202 S Park St, Madison, WI 53715-1507 |
| Ronak Mehta | Family Medicine | University of Wisconsin Medical Foundation Inc | 4590 County Rd N, Cottage Grove, WI 53527-9208 |
| Kimberly E Daniel | Gastroenterology | University of Wisconsin Medical Foundation Inc | 750 University Row, Madison, WI 53705-1311 |
| James D Thompson | Otolaryngology | University of Wisconsin Medical Foundation Inc | 600 Highland Ave, Madison, WI 53792-0001 |
| Katherine A Mccreary | Family Medicine | University of Wisconsin Medical Foundation Inc | 5543 E Cheryl Pkwy, Fitchburg, WI 53711-5376 |
| Adam James Blanchard | Diagnostic Radiology | University of Wisconsin Medical Foundation Inc | 1620 Mehta Ln, Fort Atkinson, WI 53538-9178 |
| Emily J Staudt | Physician Assistant | University of Wisconsin Medical Foundation Inc | 4131 Meridian Dr, Windsor, WI 53598-9699 |
| Muhammad S Karim | Nephrology | University of Wisconsin Medical Foundation Inc | 4600 American Pkwy, Suite 108, Madison, WI 53718-8337 |
| Gillian I Silberzahn | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 5115 N Biltmore Ln, Madison, WI 53718-2161 |
| Sara E Odonnell | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 5618 Odana Rd, Madison, WI 53719-1208 |
| Street Address |
601 HANDEYSIDE LN |
| City | FORT ATKINSON |
| State | WI |
| Zip | 53538-1273 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Renee A Churchill | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 601 Handeyside Ln, Fort Atkinson, WI 53538-1273 |
| Briana L Jelenc | Internal Medicine | University of Wisconsin Medical Foundation Inc | 601 Handeyside Ln, Fort Atkinson, WI 53538-1273 |
| Rachel Kornik | Dermatology | University of Wisconsin Medical Foundation Inc | 601 Handeyside Ln, Fort Atkinson, WI 53538-1273 |
| Jennifer L Larson | Nurse Practitioner | University of Wisconsin Medical Foundation Inc | 601 Handeyside Ln, Fort Atkinson, WI 53538-1273 |
| Charles A Weber | Pulmonary Disease | University of Wisconsin Medical Foundation Inc | 601 Handeyside Ln, Fort Atkinson, WI 53538-1273 |
| Louis A Falligant | Physician Assistant | University of Wisconsin Medical Foundation Inc | 601 Handeyside Ln, Fort Atkinson, WI 53538-1273 |
| Erik J Bonifas | Physician Assistant | University of Wisconsin Medical Foundation Inc | 601 Handeyside Ln, Fort Atkinson, WI 53538-1273 |
| Sharon M Weber | Surgical Oncology | University of Wisconsin Medical Foundation Inc | 601 Handeyside Ln, Fort Atkinson, WI 53538-1273 |
| Megan Stelse | Physician Assistant | University of Wisconsin Medical Foundation Inc | 601 Handeyside Ln, Fort Atkinson, WI 53538-1273 |
| Elaine M Pelley | Endocrinology | University of Wisconsin Medical Foundation Inc | 601 Handeyside Ln, Fort Atkinson, WI 53538-1273 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald L Williams | Pediatric Medicine | Fort Healthcare Inc | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 |
| Stanley J Fudala | Psychiatry | Fort Healthcare Inc | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 |
| William J Cannon | Internal Medicine | Fort Healthcare Inc | 500 Mcmillen St, Fort Atkinson, WI 53538-1233 |
| Thomas R Ruffalo | Physician Assistant | Fort Healthcare, Inc | 512 Wilcox St Su, Fort Atkinson, WI 53538-1254 |
| Tyler Marshall Prout | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Carolyn A Haerr | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Billie G Kontny | General Surgery | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| John A Jerisha | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Deborah L Roe | Nurse Practitioner | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Kathleen M Baus | Diagnostic Radiology | Fort Healthcare Inc | 512 Wilcox St, Fort Atkinson, WI 53538-1254 |
| Find all physicians in zip 53538 | |||
| City | FORT ATKINSON |
| Zip Code | 53538 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FORT ATKINSON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Andrea L Dettman.
| 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.