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Mary A. Woodman, PA-C

NPI 1922329861ActiveIndividual· Physician Assistant· Beaver Dam, WI

Physician Assistant (PA-C) in Beaver Dam, Wisconsin, licensed in WI, with an NPI issued in June 2010. 105 Medicare patients in 2024, $8,465 paid; nearly all of their 188 Part D prescriptions were generic (90%).

Overview

NPI1922329861
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedJun 15, 2010
Last updated in NPPESJun 15, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X2572-23WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (WI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients105
Services billed125 across 15 procedure codes
Paid by Medicare$8,465

Part D prescriptions in 2024

Prescriptions (claims)188 · 188 30-day fills
Patients139
Total drug cost$5,078
Generic share90% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Beaver Dam

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