Wendy Marie Ledesma, MD
Individual provider Active NPI Internal Medicine Physician · Prairie Du Sac, WI
NPI 1457538274 · NPPES record last updated Mar 24, 2021
Key facts
- NPI
- 1457538274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 51254-20 (WI)
- Practice address
- 260 26TH St
Prairie Du Sac, WI 53578-2203 - Phone
- (608) 643-3311
- Fax
- (608) 643-8600
- NPI assigned
- Jan 23, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Southern Illinois University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sauk Prairie Healthcare Inc
Practice addresses (Care Compare)
260 26TH St
Prairie Du Sac, WI 53578-2203
Phone (608) 643-7574
Hospital & facility affiliations
- Sauk Prairie Hospital
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100513000421 | WI | Practitioner - Internal Medicine | 6002944956 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51254-20 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sauk Prairie Healthcare, Inc. | Internal Medicine | Current |
Accepting new patients |
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Sauk Prairie Healthcare Inc | Current | Accepting new patients | |
| Sauk Prairie Healthcare Inc | Current | Accepting new patients | |
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Select Specialty Hospital - Madison Inc | Current |
Accepting new patients | |
| Sauk Prairie Healthcare Inc | Current |
Accepting new patients | |
| Select Specialty Hospital - Madison Inc | Internal Medicine | Current |
Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
801 Braxton Pl
Madison, WI 53715
Phone (608) 251-1010
260 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2471
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | WI | ||
| Internal Medicine Physician | 207R00000X | 51254-20 | WI | Yes |
Addresses
Primary practice location
260 26TH St
Prairie Du Sac, WI 53578-2203
Mailing address
260 26TH St
Prairie Du Sac, WI 53578-2203
Phone (608) 643-3311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457538274 | Medicaid | WI |
Other names
- Dr. Wendy Marie Dingel
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sph@direct.saukprairiehealthcare.org |
Other providers in Prairie Du Sac, WI
- Alicia C Krizan
- Brieanne M Laberge
- Yuen Sim Lai
- Michael D. C. Lamson
- Katherine Ann Larson
- Kerri Michele Lehman
- Reannon Lochner
- Gary J Lundgren
- Abigail I Magee
- Tara L Mahoney
All providers in Prairie Du Sac, WI · Internal Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2021. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.