Kelly Janell Fehrenbacher, MD is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Sparta, Wisconsin. She went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 2004 and has 21 years of diverse experience with area of expertise as Geriatric Medicine. She is a member of the group practice Gundersen Clinic Ltd and her current practice location is
1111 W Wisconsin St, Sparta, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 269-6731.
Kelly Janell Fehrenbacher is licensed to practice in Wisconsin (license number 48684-20) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831157114.
Physician's Profile
Full Name | Kelly Janell Fehrenbacher |
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Gender | Female |
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Speciality | Geriatric Medicine |
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Experience | 21 Years |
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Location | 1111 W Wisconsin St, Sparta, Wisconsin |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kelly Janell Fehrenbacher attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 2004
NPI Data:
- NPI Number: 1831157114
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 01/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 9537267976
- Enrollment ID: I20070607000424
Medical Identifiers
Medical identifiers for Kelly Janell Fehrenbacher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831157114 | NPI | - | NPPES |
FEHREKEL | Other | WI | MERCYCARE INSURANCE |
1831157114 | Other | WI | BCBSWI |
1831157114 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RH0002X | Internal Medicine - Hospice And Palliative Medicine | 48684 (Wisconsin) | Secondary |
207RG0300X | Internal Medicine - Geriatric Medicine | 48684-20 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Gundersen Clinic Ltd | 9638082779 | 325 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Janell Fehrenbacher allows following entities to bill medicare on her behalf.
Entity Name | Gundersen Clinic Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
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Entity Name | Mercy Health System Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
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Entity Name | Gundersen Lutheran Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Janell Fehrenbacher is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Janell Fehrenbacher, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Kelly Janell Fehrenbacher, MD 1111 W Wisconsin St, Sparta, WI 54656-2233 Ph: (608) 269-6731 |
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