| Tamarack Health Ashland Medical Center | |
|
1615 Maple Ln Ashland WI 54806-3610 | |
| (715) 685-5500 | |
| (715) 685-5118 |
| Full Name | Tamarack Health Ashland Medical Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1615 Maple Ln, Ashland, Wisconsin |
| Authorized Official Name and Position | Jason T Douglas (PRESIDENT) |
| Authorized Official Contact | 7156855512 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamarack Health Ashland Medical Center 1615 Maple Ln Ashland WI 54806-3610 Ph: (715) 685-5500 | Tamarack Health Ashland Medical Center 1615 Maple Ln Ashland WI 54806-3610 Ph: (715) 685-5500 |
| NPI Number | 1437179231 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 11/22/2023 |
| Certification Date | 11/22/2023 |
| Medicare PECOS PAC ID | 8022000447 |
|---|---|
| Medicare Enrollment ID | O20040402000938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437179231 | NPI | - | NPPES |
| 11019510 | Other | WI | MEDICAID - CAH |
| 11019521 | Medicaid | WI | |
| 00001048 | Medicaid | WI | |
| 301555922 | Medicaid | MI | |
| 36585ME | Other | MN | BCBS PROF COMPONENTS |
| 0160JME | Other | MN | BCBS BEH HEALTH INPT |
| 32947500 | Medicaid | WI | |
| 099847800 | Medicaid | MN | |
| 11019500 | Medicaid | WI | |
| 11019526 | Medicaid | WI | |
| 32769900 | Medicaid | WI | |
| 405172492 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 1066 (Wisconsin) | Secondary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 1065 (Wisconsin) | Primary |
| Provider Name | Shawn D Brede |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1811965965 PECOS PAC ID: 8628970050 Enrollment ID: I20040124000337 |
| Provider Name | Stephen D Hayden |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891716239 PECOS PAC ID: 1355339573 Enrollment ID: I20040505000471 |
| Provider Name | Candy Lynn Peters |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720188477 PECOS PAC ID: 9133104912 Enrollment ID: I20040624000337 |
| Provider Name | James Kiffmeyer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881865913 PECOS PAC ID: 8628055456 Enrollment ID: I20040630000619 |
| Provider Name | Kevin M Brady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528002045 PECOS PAC ID: 3678553682 Enrollment ID: I20040722000914 |
| Provider Name | John C White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275533176 PECOS PAC ID: 2163317637 Enrollment ID: I20040727000330 |
| Provider Name | David A Brett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306887773 PECOS PAC ID: 3870489818 Enrollment ID: I20040803001643 |
| Provider Name | James T Murphy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588643324 PECOS PAC ID: 7911973714 Enrollment ID: I20040913000694 |
| Provider Name | Lea Ann Schroeter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699773887 PECOS PAC ID: 8022917061 Enrollment ID: I20040927001101 |
| Provider Name | Kimberly Anne Boddicker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821037946 PECOS PAC ID: 9032149802 Enrollment ID: I20050827000105 |
| Provider Name | Richard Lee Fraser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891748000 PECOS PAC ID: 4082631387 Enrollment ID: I20051026000650 |
| Provider Name | Kevin J Mcclelland |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003850918 PECOS PAC ID: 5092738898 Enrollment ID: I20060106000787 |
| Provider Name | Susan B Bauer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902840051 PECOS PAC ID: 7214943448 Enrollment ID: I20060227000087 |
| Provider Name | David S Wood |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619975869 PECOS PAC ID: 0042103210 Enrollment ID: I20060323000746 |
| Provider Name | Craig W Florine |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417900937 PECOS PAC ID: 8527070275 Enrollment ID: I20060620000050 |
| Provider Name | Leah A Danner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689627119 PECOS PAC ID: 9436161189 Enrollment ID: I20060620000076 |
| Provider Name | Mark W Sneed |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548216278 PECOS PAC ID: 7618989369 Enrollment ID: I20060620000079 |
| Provider Name | Mary Lee Vitek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316056112 PECOS PAC ID: 3072518133 Enrollment ID: I20060922000379 |
| Provider Name | Vance D Bachelder |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1710936125 PECOS PAC ID: 8820066996 Enrollment ID: I20061218000294 |
| Provider Name | Mihailo Lalich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891744652 PECOS PAC ID: 1355435959 Enrollment ID: I20080107000144 |
| Provider Name | Lisa A Wheeler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629178546 PECOS PAC ID: 7517034903 Enrollment ID: I20080926000555 |
| Provider Name | Bradley D Benton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720060064 PECOS PAC ID: 6305736919 Enrollment ID: I20080927000192 |
| Provider Name | Dan R Metcalf |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306819073 PECOS PAC ID: 2769418714 Enrollment ID: I20090511000132 |
| Provider Name | Justin S Cummins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003911603 PECOS PAC ID: 7416003215 Enrollment ID: I20090921000201 |
| Provider Name | Nathan R Schoeppach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902028889 PECOS PAC ID: 6709970155 Enrollment ID: I20100109000067 |
| Provider Name | Susan Kay Barningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992033773 PECOS PAC ID: 9537201256 Enrollment ID: I20100119000450 |
| Provider Name | Mandeep Singh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407026214 PECOS PAC ID: 1557449741 Enrollment ID: I20100225000169 |
| Provider Name | Camile D Sateren |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386786754 PECOS PAC ID: 8426118902 Enrollment ID: I20100602000066 |
| Provider Name | Mary A Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972511418 PECOS PAC ID: 4082748843 Enrollment ID: I20100816000246 |
| Provider Name | Vydunas G Tumas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831150424 PECOS PAC ID: 1850425307 Enrollment ID: I20100819000112 |
| Provider Name | Matthew J Bettendorf |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932254729 PECOS PAC ID: 9032210513 Enrollment ID: I20100921000462 |
| Provider Name | Kevin Hess |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427004126 PECOS PAC ID: 3870582596 Enrollment ID: I20101023000184 |
| Provider Name | Melissa R Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235108366 PECOS PAC ID: 2769508175 Enrollment ID: I20101102001200 |
| Provider Name | Aanders J Dommer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134311541 PECOS PAC ID: 8224105218 Enrollment ID: I20110112000078 |
| Provider Name | Terrence C Tuominen |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1275694648 PECOS PAC ID: 3870535784 Enrollment ID: I20110329000731 |
| Provider Name | John P Jarocki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972525368 PECOS PAC ID: 7315078623 Enrollment ID: I20110526000790 |
| Provider Name | Paul Robert Tonkin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497801542 PECOS PAC ID: 8527237650 Enrollment ID: I20110808000761 |
| Provider Name | Cesar A Cobarruvias |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659492189 PECOS PAC ID: 4981764339 Enrollment ID: I20111011000187 |
| Provider Name | Jesse James Corry |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215964499 PECOS PAC ID: 3577568823 Enrollment ID: I20111027000457 |
| Provider Name | Scott A Mikesell |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881684942 PECOS PAC ID: 1658309984 Enrollment ID: I20111214000904 |
| Provider Name | Neal J Schroeter |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649298464 PECOS PAC ID: 1153312822 Enrollment ID: I20120110000207 |
| Provider Name | Emily Louise Matack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881978948 PECOS PAC ID: 7113194952 Enrollment ID: I20120420000465 |
| Provider Name | Lisa K Reinemann |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437198934 PECOS PAC ID: 7214945039 Enrollment ID: I20121231000131 |
| Provider Name | Keith R Anderson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902185051 PECOS PAC ID: 3274707252 Enrollment ID: I20130510000047 |
| Provider Name | Jessica W Sawyer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1992935084 PECOS PAC ID: 6901099043 Enrollment ID: I20130617000300 |
| Provider Name | John J Watkins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457339079 PECOS PAC ID: 6800785866 Enrollment ID: I20130807000114 |
| Provider Name | Amanda M Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508115379 PECOS PAC ID: 8022250760 Enrollment ID: I20130809000197 |
| Provider Name | Peter Kebbekus |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1245406750 PECOS PAC ID: 0446492573 Enrollment ID: I20140113000649 |
| Provider Name | Curi Lawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992149678 PECOS PAC ID: 9032347836 Enrollment ID: I20140123001437 |
| Provider Name | Joseph William Stromsness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013395748 PECOS PAC ID: 0446567846 Enrollment ID: I20150917001203 |
| Provider Name | David L Mischel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811329006 PECOS PAC ID: 1153556923 Enrollment ID: I20151215002498 |
| Provider Name | Alexa M Honstad |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922479195 PECOS PAC ID: 3173824802 Enrollment ID: I20151222000601 |
| Provider Name | Sara O Marsh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013020676 PECOS PAC ID: 8123321262 Enrollment ID: I20160122000890 |
| Provider Name | Jocelyn Joy Langholz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588778898 PECOS PAC ID: 7214231588 Enrollment ID: I20160205002070 |
| Provider Name | Daniel A Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801904628 PECOS PAC ID: 9032408570 Enrollment ID: I20160523001470 |
| Provider Name | Kenneth Jon Dornfeld |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1174524300 PECOS PAC ID: 8729171707 Enrollment ID: I20160602001391 |
| Provider Name | Matthew D Vincent |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194007682 PECOS PAC ID: 5698949253 Enrollment ID: I20160617000476 |
| Provider Name | Kristiane Wiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437134293 PECOS PAC ID: 1355351321 Enrollment ID: I20160811002216 |
| Provider Name | Sandra K Hanson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750367512 PECOS PAC ID: 2466501820 Enrollment ID: I20160823000507 |
| Provider Name | Sheetal R Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770627721 PECOS PAC ID: 2163606187 Enrollment ID: I20160912001194 |
| Provider Name | Ganesh Asaithambi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588807143 PECOS PAC ID: 5698918852 Enrollment ID: I20160914002303 |
| Provider Name | John M Boyle |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1588920649 PECOS PAC ID: 5294029823 Enrollment ID: I20160920002511 |
| Provider Name | Katelyn L Shultz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568916708 PECOS PAC ID: 8628366465 Enrollment ID: I20161012000231 |
| Provider Name | Rebecca M Radue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447678651 PECOS PAC ID: 4385867381 Enrollment ID: I20161027000319 |
| Provider Name | Wangcai Gao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710253752 PECOS PAC ID: 5991000820 Enrollment ID: I20161110002066 |
| Provider Name | Joseph Griffith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669922993 PECOS PAC ID: 3375822356 Enrollment ID: I20161115000890 |
| Provider Name | Theresa M Hintze |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942585823 PECOS PAC ID: 9436438249 Enrollment ID: I20161118001936 |
| Provider Name | Roger G Levine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245241181 PECOS PAC ID: 4587621412 Enrollment ID: I20161121002021 |
| Provider Name | Matthew John Dammeyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083838403 PECOS PAC ID: 8921177114 Enrollment ID: I20170110002649 |
| Provider Name | Kelsey L Ladwig |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1316341571 PECOS PAC ID: 3173849247 Enrollment ID: I20170216000227 |
| Provider Name | Dana R Katchka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093194599 PECOS PAC ID: 1456636125 Enrollment ID: I20170320001172 |
| Provider Name | Melissa J Malmberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033664719 PECOS PAC ID: 2466730049 Enrollment ID: I20170403001028 |
| Provider Name | Tracie B Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477787026 PECOS PAC ID: 3870747132 Enrollment ID: I20170509000179 |
| Provider Name | Jake L Pray |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508392465 PECOS PAC ID: 1052680642 Enrollment ID: I20170713002215 |
| Provider Name | Sam Kuchinka |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639412000 PECOS PAC ID: 3577865989 Enrollment ID: I20170718001568 |
| Provider Name | Nicholas M Miller |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1689916793 PECOS PAC ID: 7618277658 Enrollment ID: I20170726003739 |
| Provider Name | Dimitrios Giannakidis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285963793 PECOS PAC ID: 6305061458 Enrollment ID: I20170901001281 |
| Provider Name | Rebecca J Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720591654 PECOS PAC ID: 0244598837 Enrollment ID: I20180104000017 |
| Provider Name | James Dudo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629285051 PECOS PAC ID: 3678467131 Enrollment ID: I20180223000582 |
| Provider Name | Lynn M Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306014303 PECOS PAC ID: 9335499029 Enrollment ID: I20180829003891 |
| Provider Name | Joseph John Signorelli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1528165081 PECOS PAC ID: 4789877895 Enrollment ID: I20180907001193 |
| Provider Name | Larry C Munch |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205836889 PECOS PAC ID: 4082757869 Enrollment ID: I20190131001363 |
| Provider Name | Matthew J Janezic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1386981777 PECOS PAC ID: 7416192042 Enrollment ID: I20190328000021 |
| Provider Name | Karlin S Marks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801251897 PECOS PAC ID: 2567797558 Enrollment ID: I20190712001958 |
| Provider Name | Laura L Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164634697 PECOS PAC ID: 1557598794 Enrollment ID: I20190814002310 |
| Provider Name | Ryan C Sportel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1194987636 PECOS PAC ID: 0749355832 Enrollment ID: I20190910000492 |
| Provider Name | Thomas William Jorgensen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093220089 PECOS PAC ID: 8426319138 Enrollment ID: I20191112000075 |
| Provider Name | Barbara E Jusula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003440967 PECOS PAC ID: 9830519925 Enrollment ID: I20201012000165 |
| Provider Name | Jasmin J David |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073682134 PECOS PAC ID: 0143222851 Enrollment ID: I20210609000732 |
| Provider Name | Gregory A Zinke |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1437727765 PECOS PAC ID: 3072910199 Enrollment ID: I20210916000548 |
| Provider Name | Nathan Opland |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639590102 PECOS PAC ID: 6103056346 Enrollment ID: I20210928003002 |
| Provider Name | Anthony C Wiseman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1528487907 PECOS PAC ID: 7911322953 Enrollment ID: I20211215001294 |
| Provider Name | Carl Liebe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285294348 PECOS PAC ID: 8426383431 Enrollment ID: I20220727000542 |
| Provider Name | Jessica Andrea Morrison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477939254 PECOS PAC ID: 8325396807 Enrollment ID: I20220822003628 |
| Provider Name | Thomas R Undine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245499151 PECOS PAC ID: 9830213503 Enrollment ID: I20220922003922 |
| Provider Name | Ryan G Bures |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154973634 PECOS PAC ID: 0244567279 Enrollment ID: I20221202002621 |
| Provider Name | Colten P Thewis |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1457096810 PECOS PAC ID: 4587033311 Enrollment ID: I20221216001833 |
| Provider Name | Heather C Pawlak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871220111 PECOS PAC ID: 2264802321 Enrollment ID: I20230105002342 |
| Provider Name | Nancy E Wheeler |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1831823806 PECOS PAC ID: 9830569839 Enrollment ID: I20230109002588 |
| Provider Name | Ashley A Kamantauskas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700482627 PECOS PAC ID: 5799197422 Enrollment ID: I20230130001126 |
| Provider Name | Katie L Keenan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730892589 PECOS PAC ID: 3577935790 Enrollment ID: I20230215002295 |
| Provider Name | Bradley David Lepore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558898239 PECOS PAC ID: 0345517413 Enrollment ID: I20230413001499 |
| Provider Name | Jeffrey P Rutgard |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043699259 PECOS PAC ID: 9739500349 Enrollment ID: I20231025001381 |
| Provider Name | Kevin M Clarke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487664835 PECOS PAC ID: 0648217638 Enrollment ID: I20240105002060 |
| Provider Name | Jessica Joanis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114369139 PECOS PAC ID: 7517318264 Enrollment ID: I20240108003633 |
| Provider Name | Lange B Clancy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184126310 PECOS PAC ID: 6305269713 Enrollment ID: I20240131002655 |
| Provider Name | Samantha G Pykkonen |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1093969453 PECOS PAC ID: 7618031899 Enrollment ID: I20240201004025 |
| Provider Name | Robbie Pairolero |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912995986 PECOS PAC ID: 2163486929 Enrollment ID: I20240227002201 |
| Provider Name | Kevin Donovan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578123097 PECOS PAC ID: 8224456223 Enrollment ID: I20240305003279 |
| Provider Name | Heidi L Kahlstorf |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437265113 PECOS PAC ID: 7911343199 Enrollment ID: I20240311000748 |
| Provider Name | Andrea Hess |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962918649 PECOS PAC ID: 8628414810 Enrollment ID: I20240311001215 |
| Provider Name | Dawn Derks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396147377 PECOS PAC ID: 9830411339 Enrollment ID: I20240329001084 |
| Provider Name | Grant Bludorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265920789 PECOS PAC ID: 2062769482 Enrollment ID: I20240422001541 |
| Provider Name | Kristen Tweedy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891133559 PECOS PAC ID: 1759522568 Enrollment ID: I20240501000706 |
| Provider Name | Rachel Annika Janezic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619361375 PECOS PAC ID: 7315266780 Enrollment ID: I20240516002278 |
Calm Waters Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 Main St W, Ashland, WI 54806 Phone: 715-682-7171 | |
Northland Counseling Services Ltd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1619 West 3rd St, Ashland, WI 54806 Phone: 715-373-0160 | |
Impact Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Ellis Ave, Ashland, WI 54806 Phone: 715-682-3523 | |
Bad River Aoda Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 53585 Nokomis Rd, Ashland, WI 54806 Phone: 715-682-7133 Fax: 715-685-7857 | |
Impact Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Ellis Ave, Suite 1, Ashland, WI 54806 Phone: 715-682-3523 | |
First Mile Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 Main St W Ste 305, Ashland, WI 54806 Phone: 715-765-1498 |