Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Allegra Ponshock, MD

Individual provider Family Medicine Physician · NPI 1073001996

Allegra Ponshock, MD is a Family Practice in Mauston, Wisconsin. Qualified in 2018, 8 years ago. Practices with Mile Bluff Medical Center Inc, a 83-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and Wisconsin.

Years since qualifying
8
Licensed in
CT, WI
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1040 Division St
Mauston, WI 53948-1998
Phone: (608) 847-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 90 S Main St, Middletown, CT 06457-3649 — (860) 358-6486

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 77998-20 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 68011 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073001996
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2018
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mile Bluff Medical Center Inc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Mauston