Joshua Raymond Babcock, PA-C
Individual provider Active NPI Physician Assistant · Mount Pleasant, WI
NPI 1093496192 · NPPES record last updated Jul 31, 2023
Key facts
- NPI
- 1093496192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 3801 Spring St
Mount Pleasant, WI 53405-1667 - Phone
- (262) 687-4011
- NPI assigned
- Jul 31, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231010001068 | WI | Practitioner - Physician Assistant | 7719332808 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group-Southeast Wisconsin Inc | Physician Assistant | Current |
Accepting new patients |
Locations
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011
10000 W Bluemound Rd
Wauwatosa, WI 53226
Phone (414) 456-3000
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
Interoperability endpoints
- jbabcock826328@direct.froedtert.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | WI | Yes |
Addresses
Primary practice location
3801 Spring St
Mount Pleasant, WI 53405-1667
Mailing address
3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4011
Other providers in Mount Pleasant, WI
- Aurora Pharmacy Inc
- Aurora Pharmacy Inc.
- Heatherly D Awad
- Sameh E Azab
- Mustafa Syed Azimuddin
- Badger Care LLC
- William Paul Bake
- Kaylee Nicole Balchitis
- Alicia S Balistreri
- Mary L Ballard
All providers in Mount Pleasant, WI · Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.