Benjamin S Mixis, | |
1836 South Ave, La Crosse, WI 54601-5429 | |
(608) 782-7300 | |
Not Available |
Full Name | Benjamin S Mixis |
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Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 1836 South Ave, La Crosse, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932635935 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 69972 (Wisconsin) | Primary |
Entity Name | Gundersen Clinic Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20040130000561 |
Mailing Address | Practice Location Address |
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Benjamin S Mixis, 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Benjamin S Mixis, 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
Mauricio Infante, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 212 11th St S, La Crosse, WI 54601 Phone: 608-392-9555 Fax: 608-392-9432 | |
James Eldon Lean, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Alexander Molter, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 615 10th St S, La Crosse, WI 54601 Phone: 608-785-0940 Fax: 734-786-4915 | |
Mary L Goodsett, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Wonhee Lee, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Janelle L Cooper, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 605-775-9000 Fax: 608-775-6358 | |
Mr. Paul Samuel Spanel, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |