Susan G Maclellan-tobert
MD | Pediatric Cardiology | Female
Susan G Maclellan-tobert, MD is a La Crosse, Wisconsin based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Susan G Maclellan-tobert is
1836 South Ave, La Crosse, Wisconsin - 54601-5429. She can be contacted on phone at
608-782-7300.
Susan G Maclellan-tobert is a sole proprietor of her business.
NPI number (Unique professional ID) for Susan G Maclellan-tobert is
1952304834 which was assigned by NPPES on 24 May, 2005 and it was last updated on 27 Oct, 2020.
Susan G Maclellan-tobert license number is
37282 for Pediatrics Pediatric Cardiology (2080P0202X) in Wisconsin.
Susan G Maclellan-tobert provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Susan G Maclellan-tobert basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Susan G Maclellan-tobert |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Susan G Maclellan-tobert 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 : | 1836 South Ave
La Crosse, WI, 54601-5429
United States |
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| Phone Number : | 608-782-7300 |
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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 : | 1952304834 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 May, 2005 |
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| Last Updated On : | 27 Oct, 2020 |
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Medicare Participation:
Susan G Maclellan-tobert participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 0941498984 |
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| Medicare Enrollment ID : | I20101217000352 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 1989 |
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| Accepts Medicare? | Yes. Susan G Maclellan-tobert accepts medicare insurance. |
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Group Practice Association:
Susan G Maclellan-tobert 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 Susan G Maclellan-tobert 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 |
|---|
| Gundersen Lutheran Medical Center Inc | 2163331414 | 754 | 1836 S Ave
La Crosse, WI - 546015429 | Yes |
| Gundersen Lutheran Medical Center Inc | 2163331414 | 754 | 2575 S 7th St
Bethany Riverside
La Crosse, WI - 546015429
Ph: 6087758200 | Yes |
| Gundersen Lutheran Medical Center Inc | 2163331414 | 754 | 1910 S Ave
La Crosse, WI - 546015467
Ph: 6087827300 | Yes |
| Gundersen Clinic Ltd | 9638082779 | 364 | 610 E Taylor St
Pr Du Chien, WI - 538212109
Ph: 6083266466 | Yes |
| Gundersen Lutheran Medical Center Inc | 2163331414 | 754 | 1122 W Hwy 61
Winona, MN - 559871957
Ph: 5076150600 | Yes |
| Gundersen Clinic Ltd | 9638082779 | 364 | 895 Mankato Ave
Winona, MN - 559875362
Ph: 5074543680 | 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 Susan G Maclellan-tobert are as mentioned. Primary taxonomy code for Susan G Maclellan-tobert, MD is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | 37282 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Susan G Maclellan-tobert such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 34278900 | MEDICAID | WI | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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800 WEST AVE S,
LA CROSSE, WI, 54601-8806
United States | LA CROSSE, WI | 608-785-0940 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
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DIRECT
(Direct Messaging Address) | smaclellantobert43045@ehrdirect.mayoclinicmsg.org
| No affiliation |
|
| 800 WEST AVE S,
LA CROSSE, WI, 54601-8806
United States |
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 : | 1836 South Ave
La Crosse, WI, 54601-5429
United States |
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| Phone Number : | 608-782-7300 |
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Business Location:
Patients can refer following map for directions to
Susan G Maclellan-tobert practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.