Clarisse P Ethridge, MD - Medicare Endocrinology in Madison, WI

Clarisse P Ethridge, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Madison, Wisconsin. She went to University Of Wisconsin School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Endocrinology. She is a member of the group practice Dean Health Systems Inc and her current practice location is 1821 S Stoughton Rd, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 260-6000.

Clarisse P Ethridge is licensed to practice in Wisconsin (license number 36964-020) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679524243.

Contact Information

Clarisse P Ethridge, MD
1821 S Stoughton Rd,
Madison, WI 53716-2257
(608) 260-6000
(608) 260-6595



Physician's Profile

Full NameClarisse P Ethridge
GenderFemale
SpecialityEndocrinology
Experience30 Years
Location1821 S Stoughton Rd, Madison, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Clarisse P Ethridge attended and graduated from University Of Wisconsin School Of Medicine in 1994
  NPI Data:
  • NPI Number: 1679524243
  • Provider Enumeration Date: 05/16/2006
  • Last Update Date: 01/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7416988944
  • Enrollment ID: I20050824001070

Medical Identifiers

Medical identifiers for Clarisse P Ethridge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679524243NPI-NPPES
1679524243MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism 36964-020 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm Health St Mary's Hospital - MadisonMadison, WIHospital
Ssm Health St Clare Hospital - BarabooBaraboo, WIHospital
Divine Savior HealthcarePortage, WIHospital
Ssm Health St Mary's Hospital - JanesvilleJanesville, WIHospital
Columbus Community HospitalColumbus, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dean Health Systems Inc70128279831068

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Clarisse P Ethridge allows following entities to bill medicare on her behalf.
Entity NameDean Health Systems Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053358846
PECOS PAC ID: 7012827983
Enrollment ID: O20031105000584

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clarisse P Ethridge is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Clarisse P Ethridge, MD
1821 S Stoughton Rd,
Madison, WI 53716-2257

Ph: (608) 260-6000
Clarisse P Ethridge, MD
1821 S Stoughton Rd,
Madison, WI 53716-2257

Ph: (608) 260-6000

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Internal Medicine Doctors in Madison, WI

Prof. Marvin Lyle Birnbaum, MD
Endocrinology, Diabetes & Metabolism
Medicare: Not Enrolled in Medicare
Practice Location: 3330 University Ave, Suite 300, Madison, WI 53705
Phone: 608-263-9641    Fax: 608-265-4429
Yingyu Gao, MD
Endocrinology, Diabetes & Metabolism
Medicare: Medicare Enrolled
Practice Location: 600 Highland Ave, Madison, WI 53792
Phone: 608-263-6400    
Dr. Sam Joseph Lubner, MD
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 600 Highland Ave, Madison, WI 53792
Phone: 608-265-1700    
Randy S Heidel, MD
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 20 S Park St, Madison, WI 53715
Phone: 608-287-2250    Fax: 608-287-2438
Benjamin Kleiber, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 700 S Park St, Dean & St. Mary's Outpatient Center, Madison, WI 53715
Phone: 608-260-2900    Fax: 608-260-2956
N Thomas Casper, MD
Endocrinology, Diabetes & Metabolism
Medicare: Accepting Medicare Assignments
Practice Location: 3102 Meriter Way, Madison, WI 53719
Phone: 608-417-8800    
Philip Tepper Cohen, M.D.
Endocrinology, Diabetes & Metabolism
Medicare: Not Enrolled in Medicare
Practice Location: 5154 Juneau Rd, Madison, WI 53705
Phone: 608-441-2512    Fax: 608-441-2512

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