| Scenic Bluffs Community Health Centers | |
|
238 Front St Cashton WI 54619 | |
| (608) 654-5100 | |
| (608) 654-5120 |
| Full Name | Scenic Bluffs Community Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 238 Front St, Cashton, Wisconsin |
| Authorized Official Name and Position | Kimberly Hawthorne (CEO) |
| Authorized Official Contact | 6086545100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scenic Bluffs Community Health Centers Po Box 39 Cashton WI 54619-0039 Ph: (608) 654-5100 | Scenic Bluffs Community Health Centers 238 Front St Cashton WI 54619 Ph: (608) 654-5100 |
| NPI Number | 1104890078 |
|---|---|
| Provider Enumeration Date | 02/15/2006 |
| Last Update Date | 09/13/2024 |
| Medicare PECOS PAC ID | 8325098296 |
|---|---|
| Medicare Enrollment ID | O20050127001057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104890078 | NPI | - | NPPES |
| 33247200 | Medicaid | WI | |
| 32955800 | Medicaid | WI |
| Provider Name | Elizabeth R Bade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184676207 PECOS PAC ID: 2668404666 Enrollment ID: I20050909000587 |
| Provider Name | Duane M Koons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518963800 PECOS PAC ID: 4183641483 Enrollment ID: I20051026000641 |
| Provider Name | Mark Heberlein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891791067 PECOS PAC ID: 7416038716 Enrollment ID: I20080111000730 |
| Provider Name | Laurie A Logan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710977210 PECOS PAC ID: 1153404231 Enrollment ID: I20080213000085 |
| Provider Name | Stacey L Markuson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417106048 PECOS PAC ID: 7315089133 Enrollment ID: I20100116000195 |
| Provider Name | Trevor L Lyons |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1831494301 PECOS PAC ID: 7214110147 Enrollment ID: I20110330000343 |
| Provider Name | Kelli Pasch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760008874 PECOS PAC ID: 5395162432 Enrollment ID: I20200903001015 |
| Provider Name | Teresa L Nundahl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649599127 PECOS PAC ID: 9436509593 Enrollment ID: I20240102002246 |
| Provider Name | Ryanne C Inglett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063191922 PECOS PAC ID: 5698115384 Enrollment ID: I20240429001306 |
Scenic Bluffs Community Health Centers Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 238 Front St, Cashton, WI 54619 Phone: 608-654-5100 |