Dr Elana Fran Wistrom, DO | |
2825 Prairie Ave, Beloit, WI 53511-1844 | |
(608) 363-5500 | |
(608) 363-5539 |
Full Name | Dr Elana Fran Wistrom |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 16 Years |
Location | 2825 Prairie Ave, Beloit, 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 |
---|---|---|---|
1134376486 | NPI | - | NPPES |
1134376486 | Medicaid | WI | |
WISTRELA | Other | WI | MERCYCARE INSURANCE |
1134376486 | Other | WI | BCBSWI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 5101017794 (Michigan) | Secondary |
207V00000X | Obstetrics & Gynecology | 57321-21 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Health System Corp | Janesville, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health System Corporation | 7416860440 | 475 |
Entity Name | Mercy Health System Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
---|---|
Dr Elana Fran Wistrom, DO 2825 Prairie Ave, Beloit, WI 53511-1844 Ph: (608) 363-5500 | Dr Elana Fran Wistrom, DO 2825 Prairie Ave, Beloit, WI 53511-1844 Ph: (608) 363-5500 |
Prashanti Pilla, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 74 Eclipse Ctr, Beloit, WI 53511 Phone: 608-361-0311 | |
Dr. Robert R Harris, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: Beloit Clinic, 1905 E Huebbe Parkway, Beloit, WI 53511 Phone: 608-364-2220 Fax: 608-363-7306 | |
Jamie Turner-rose, CNM Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 224-245-3690 | |
Kerilynn Loftus, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511 Phone: 608-364-2200 Fax: 608-364-1622 | |
Dr. Glenn Anthony Tan, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1905 E. Huebbe Parkway, Beloit Health System Inc, Beloit, WI 53511 Phone: 608-364-2220 Fax: 608-364-2489 | |
Russell D Albert, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1905 E. Huebbe Parkway, Beloit Health System Inc., Beloit, WI 53511 Phone: 608-364-2200 Fax: 608-364-2489 |