Kelli Ann Polum, PHYSICIAN ASSISTANT in Winona, MN

Kelli Ann Polum, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant - Medical" in Winona, Minnesota. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Gundersen Lutheran Medical Center Inc and her current practice location is 1122 W Highway 61, Winona, Minnesota. You can reach out to her office (for appointments etc.) via phone at (608) 782-7300.

Kelli Ann Polum is licensed to practice in Minnesota (license number 13360) 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 1184275794.

Contact Information

	Kelli Ann Polum, PHYSICIAN ASSISTANT
	1122 W Highway 61, Winona, MN 55987-1957
	(608) 782-7300
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelli Ann Polum
Gender	Female
Speciality	Physician Assistant
Experience	5 Years
Location	1122 W Highway 61, Winona, Minnesota
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:

Kelli Ann Polum graduated from nursing school in 2019

NPI Data:

NPI Number: 1184275794
Provider Enumeration Date: 09/25/2019
Last Update Date: 07/21/2020

Medicare PECOS Information:

PECOS PAC ID: 3577981216
Enrollment ID: I20200914000549

Medical Identifiers

Medical identifiers for Kelli Ann Polum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184275794	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	4850 (Wisconsin)	Secondary
363AM0700X	Physician Assistant - Medical	13360 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Gundersen Lutheran Medical Center	La crosse, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gundersen Lutheran Medical Center Inc	2163331414	789

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. Kelli Ann Polum 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
Kelli Ann Polum, PHYSICIAN ASSISTANT 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300	Kelli Ann Polum, PHYSICIAN ASSISTANT 1122 W Highway 61, Winona, MN 55987-1957 Ph: (608) 782-7300

Reviews and Comments

Physician Assistant Nurses in Winona, MN

Laura Ann Trautlein, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 507-454-3650
Holly Lee White Engler, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 507-454-3650
Roosevelt Smith Jr., PAC, ATR Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 62 E 3rd St, Suite 3, Winona, MN 55987 Phone: 507-474-4770 Fax: 507-474-4774
Hannah Degallier, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 507-454-3650
Neil H Tator, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1122 W Highway 61, Winona, MN 55987 Phone: 608-782-7300
Ashley Lynn Hazeman, Physician Assistant Medicare: Medicare Enrolled Practice Location: 420 E Sarnia St, Winona, MN 55987 Phone: 507-454-4341

Kelli Ann Polum, PHYSICIAN ASSISTANT - Medicare Physician Assistant in Winona, MN