Daniel B Lange, MD | |
1836 South Ave, La Crosse, WI 54601-5429 | |
(608) 782-7300 | |
Not Available |
Full Name | Daniel B Lange |
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Gender | Male |
Speciality | Ophthalmology |
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 |
---|---|---|---|
1730185869 | NPI | - | NPPES |
30826200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 28389 (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: O20031113000579 |
Mailing Address | Practice Location Address |
---|---|
Daniel B Lange, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Daniel B Lange, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
Kristie K Shappell, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Anthony M Jarrett, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-392-9871 | |
Steven W Whitford, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Dr. Shawn Steven Sell, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Christopher P Born, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Randall Scott Condit, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Jay C Erie, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 |