-- Beth Ann Medford --

MD | Pediatric Cardiology | Female

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Complete Profile:

-- Beth Ann Medford -- basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Cardiology
Provider Name :	-- Beth Ann Medford --
Credential :	MD
Gender :	Female

Business Address:

-- Beth Ann Medford -- address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1821 S Webster Ave Green Bay, WI, 54301-2253 United States
Phone Number :	920-496-4700

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1336109123
NPI Entity Type :	Individual
First Enrolment Date :	24 Mar, 2006
Last Updated On :	07 Mar, 2023

Medicare Participation:

-- Beth Ann Medford -- participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0345249348
Medicare Enrollment ID :	I20140814000540
Primary Specialty :	Pediatric Medicine
Medical School :	Oregon Health Sciences University School Of Medicine
Graduation Year :	2002
Accepts Medicare?	Yes. -- Beth Ann Medford -- accepts medicare insurance.

Group Practice Association:

-- Beth Ann Medford -- is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which -- Beth Ann Medford -- is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
St Vincent Hospital-hospital Sisters-third Order Of St Francis	5799694675	553	1821 S Webster Ave Green Bay, WI - 543012253 Ph: 9204964700	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for -- Beth Ann Medford -- are as mentioned. Primary taxonomy code for -- Beth Ann Medford --, MD is 2080P0202X (Pediatrics, Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	5948	AK
2080P0202X	Pediatrics, Pediatric Cardiology	No	105628	MN
208000000X	Pediatrics	No	54516	MN
2080P0202X	Pediatrics, Pediatric Cardiology	Yes	62010	WI

Legacy Identifiers:

Other legacy medical identifiers of -- Beth Ann Medford -- such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
0361450001	MEDICARE NSC	AK
370004446	MEDICARE PIN	MN
I66336	MEDICARE UPIN
K162362	MEDICARE PIN	AK
MD6921	MEDICAID	AK

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1821 S Webster Ave Green Bay, WI, 54301-2253 United States
Phone Number :	920-496-4700

Business Location:

Patients can refer following map for directions to -- Beth Ann Medford -- practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.