Derek I Colmenares, MD | |
420 E Division St, Fond Du Lac, WI 54935-4560 | |
(920) 926-8200 | |
Not Available |
Full Name | Derek I Colmenares |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 36 Years |
Location | 420 E Division St, Fond Du Lac, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831180470 | NPI | - | NPPES |
34088000 | Medicaid | WI | |
080169830 | Other | WI | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 43322 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Agnes Hospital | Fond du lac, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Agnesian Healthcare Inc | 1658289624 | 335 |
Entity Name | Agnesian Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
Mailing Address | Practice Location Address |
---|---|
Derek I Colmenares, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340 | Derek I Colmenares, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8200 |
Lynda J Kasper, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8200 | |
Heather Pearson Schmidt, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8500 Fax: 920-926-8983 | |
Gina M Everson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8200 | |
William J Brusky, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 145 N Main St, Fond Du Lac, WI 54935 Phone: 920-926-8492 | |
Marcie Ann Janz, APNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 481 E Division St, Suite 100, Fond Du Lac, WI 54935 Phone: 920-929-8120 Fax: 920-929-8126 | |
Gay D Trepanier, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 481 E Division St, Suite 100, Fond Du Lac, WI 54935 Phone: 920-929-8120 Fax: 920-929-8126 | |
Dr. Kevin Andrew Jessen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 912 S Hickory St, Fond Du Lac, WI 54935 Phone: 920-929-7490 Fax: 920-929-7470 |