Cassondra Kovach
Family Doctor Obstetrician
1040 Division St
Mauston
, Wisconsin 53948-1931
Cassondra Kovach
Family Doctor Obstetrician
1040 Division St
Mauston
, Wisconsin 53948-1931
(608) 847-9875
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About
Features
Specialties
- Family Doctor
- Obstetrician
Languages spoken
- English
Location
First Address
- Cassondra Kovach
- 1040 Division St
- Mauston, WI
- Zip : 53948-1931
- Fax : (608) 847-9875
- Phone : (608) 847-5000
Second Address
- Cassondra Kovach
- 1040 Division St
- Mauston, WI
- Zip : 53948-1931
- Fax : (608) 847-9875
- Phone : (608) 847-5000
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FAQs
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What type of doctor is Cassondra Kovach
In what state does Cassondra Kovach practice in?
Where is Cassondra Kovach ’s practice located?
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Is Cassondra Kovach a sole practitioner?
Is Cassondra Kovach accepting new patients?
What languages does Cassondra Kovach speak?
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Does Cassondra Kovach offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 4301083274 | MI |
| Y | 207Q00000X | Family Doctor | 56450-20 | WI |
| N | 207Q00000X | Family Doctor | CK083274 | MI |
| N | 207VX0000X | Obstetrician | 4301083274 | MI |
National Provider Identifier
| NPI | 1043201338 |
|---|---|
| Provider Name | Cassondra Kovach |
| First Address | Mauston, WI 53948-1931 |
| Second Address | Mauston, WI 53948-1931 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/11/2005 |
| Last Update Date | 08/12/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01-30787 | PHP PROV # (01) | |
| 0800311522 | BCBS MI PROV # (01) | MI |
| 1043201338 | (05) | WI |
| 2397259 | UNITED HEALTHCARE (01) | |
| 31354 | HEALTH PLAN OF MI (01) | MI |
| 4615612 | (05) | MI |
| CK083274 | STATE LICENSE # (01) | MI |
| H75611 | (02) | |
| P00160742 | RAILROAD MEDICARE (01) | |
| P31738F | BLUE CARE NETWORK (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.