Angela M Connely, CNM | |
3111 Gunderson Rd, Onalaska, WI 54650-8447 | |
(608) 782-7300 | |
Not Available |
Full Name | Angela M Connely |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 3111 Gunderson Rd, Onalaska, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356544423 | NPI | - | NPPES |
36034200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 148807 (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: O20031106000139 |
Entity Name | Gundersen Lutheran Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
Mailing Address | Practice Location Address |
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Angela M Connely, CNM 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Angela M Connely, CNM 3111 Gunderson Rd, Onalaska, WI 54650-8447 Ph: (608) 782-7300 |
Theresa Hagen, CNM, RN, APNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 191 Theater Rd, Onalaska, WI 54650 Phone: 608-785-0940 | |
Jennifer H Meyers, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 191 Theater Rd, Onalaska, WI 54650 Phone: 608-392-5000 | |
Hilary Anne Conn, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-775-8100 | |
Ms. Jacqueline M Pierce, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-782-7300 | |
Linda D Hirsh, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-782-7300 |