Ms Kelly J Pedahel, is a
Registered Nurse based in Cato, Wisconsin. Ms Kelly J Pedahel is licensed to practice in Wisconsin (license number ) and her current practice location is
6120 Menchalville Rd, Cato, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 559-0172.
NPI number for Ms Kelly J Pedahel is 1841329984 and her current mailing address is 6120 Menchalville Rd, Cato, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841329984.
Provider's Profile
| Full Name | Ms Kelly J Pedahel |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 6120 Menchalville Rd, Cato, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1841329984
- Provider Enumeration Date: 03/05/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Ms Kelly J Pedahel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841329984 | NPI | - | NPPES |
| 38341500 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | (Wisconsin) | Primary |
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. Ms Kelly J Pedahel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Kelly J Pedahel,
6120 Menchalville Rd,
Cato, WI 54230-8223
Ph: () - | Ms Kelly J Pedahel,
6120 Menchalville Rd,
Cato, WI 54230-8223
Ph: (920) 559-0172 |
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