Erin K Eferem, M.D.
Individual provider Active NPI Emergency Medicine Physician · Berlin, WI
NPI 1700106796 · NPPES record last updated Apr 26, 2022
Key facts
- NPI
- 1700106796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 60303-20 (WI)
- Practice address
- 225 Memorial Dr
Berlin, WI 54923-1243 - Phone
- (920) 361-5525
- NPI assigned
- Jun 2, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Medical College of Wisconsin, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Thedacare Regional Medical Center - Appleton, Inc
Practice addresses (Care Compare)
250 W 6TH Ave
Oshkosh, WI 54902-5910
Phone (920) 651-8000
Hospital & facility affiliations
- Thedacare Medical Center - Berlin Inc
- Thedacare Regional Medical Center - Appleton Inc
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 |
|---|---|---|---|---|
| I20131003000220 | WI | Practitioner - Emergency Medicine | 8426282534 | Reassigns benefits to 9 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301096495 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thedacare Medical Center - Waupaca, Inc. | Current |
Accepting new patients | |
| Thedacare Regional Medical Center - Appleton Inc. | Current |
Accepting new patients | |
| Thedacare Regional Medical Center - Appleton, Inc. | Current |
Accepting new patients | |
| Richard S Veiga MD SC | Current | Accepting new patients | |
| Thedacare Medical Center - Shawano, Inc. | Current |
Accepting new patients | |
| Thedacare Medical Center - Wild Rose, Inc | Current |
Accepting new patients | |
| Thedacare Medical Center - Waupaca, Inc. | Current |
Accepting new patients | |
| Thedacare Medical Center - Berlin, Inc. | Current |
Accepting new patients | |
| Thedacare Medical Center - New London, Inc. | Current |
Accepting new patients | |
| Thedacare Medical Center - Shawano, Inc. | Current |
Accepting new patients | |
| Thedacare Medical Center - Waupaca, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Thedacare Medical Center - New London, Inc | Current |
Accepting new patients | |
| Thedacare Medical Center - Berlin, Inc. | Current |
Accepting new patients |
Locations
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042
3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229
1405 Mill St
New London, WI 54961
Phone (920) 531-2000
500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501
250 W 6th Ave
Oshkosh, WI 54902
Phone (920) 237-5000
100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161
800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000
601 Grove Ave
Wild Rose, WI 54984
Phone (888) 287-4488
Interoperability endpoints
- eeferem186351@direct.thedacare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301096495 | MI | |
| Emergency Medicine Physician | 207P00000X | 60303-20 | WI | Yes |
Addresses
Primary practice location
225 Memorial Dr
Berlin, WI 54923-1243
Mailing address
3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 361-5525
Other practice location 1
1506 S Oneida St
Appleton, WI 54915-1305
Phone (414) 290-6720
Other names
- Erin K Mathewson
Other providers in Berlin, WI
- Maria Graziella Cruz-Apolinario
- Mary Swieskowski Cummins
- Rebecca Davis
- Courtney Disterhaft
- Tiffani L Driessen
- Jill Margaret Egbert
- Gary A. Eggert
- Emily T Engelke
- Evergreen Home of Berlin, Inc.
- Evergreen Pines Inc
All providers in Berlin, WI · Emergency 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 Apr 26, 2022. 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.