Ellen M Ott, PNP | |
3111 Gundersen Drive, Onalaska, WI 54650 | |
(608) 796-8630 | |
Not Available |
Full Name | Ellen M Ott |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 3111 Gundersen Drive, 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 |
---|---|---|---|
1710981154 | NPI | - | NPPES |
43865500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 1141 (Wisconsin) | Primary |
Entity Name | Gundersen Clinic Ltd |
---|---|
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 |
---|---|
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 |
---|---|
Ellen M Ott, PNP 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Ellen M Ott, PNP 3111 Gundersen Drive, Onalaska, WI 54650 Ph: (608) 796-8630 |
Mrs. Tara Kathleen Deigmann, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-775-8100 | |
Mrs. Linda Helen Watson, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1828 E Main St, Suite 10, Onalaska, WI 54650 Phone: 608-782-9675 Fax: 608-782-1123 | |
Delrose D Jones, ANP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 191 Theater Rd, Onalaska, WI 54650 Phone: 608-392-5702 Fax: 608-392-5789 | |
Sally Cecile Pollock, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 191 Theater Rd, Onalaska, WI 54650 Phone: 608-785-0940 | |
Jennifer Lea Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-775-8100 | |
Amy Pike, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 191 Theater Rd, Onalaska, WI 54650 Phone: 608-392-5000 | |
Virginia L Green, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3111 Gunderson Rd, Onalaska, WI 54650 Phone: 608-782-7300 |