| Ms Tara Lynn Wilde, RD | |
|
700 West Ave S, La Crosse, WI 54601-4783 | |
| (608) 392-4718 | |
| Not Available |
| Full Name | Ms Tara Lynn Wilde |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 12 Years |
| Location | 700 West Ave S, La Crosse, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902152705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | 2532 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Health System-southwest Wisconsin Region Inc | 0345152443 | 417 |
| Provider Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684 |
| Provider Name | Prairie Du Chien Memorial Hospital Association, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619024197 PECOS PAC ID: 4981698537 Enrollment ID: O20040414001308 |
| Provider Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1841278637 PECOS PAC ID: 0345152443 Enrollment ID: O20100506000523 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tara Lynn Wilde, RD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (715) 838-5222 | Ms Tara Lynn Wilde, RD 700 West Ave S, La Crosse, WI 54601-4783 Ph: (608) 392-4718 |
Angela Marie Onsgard, R.D. Dietitian Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Marisa A Pruitt, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Rebecca V Cripe, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Clara Marie Wiencek Williams, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Linda M Barbour, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Ms. Rachel Cora Johnson, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Heather L Gustafson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 Fax: 608-775-4467 |