Kallen Krause, | |
855 S Main St, Oconto Falls, WI 54154-1241 | |
(920) 846-3444 | |
Not Available |
Full Name | Kallen Krause |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 855 S Main St, Oconto Falls, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376716746 | NPI | - | NPPES |
10448-24 | Other | WI | LICENSE NUMBER |
11014110 | Medicaid | WI | |
390848401050 | Other | WI | BLUE CROSS |
11014100 | Medicaid | WI | |
36124200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 10448-24 (Wisconsin) | Primary |
Provider Name | Marshfield Clinic Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
Provider Name | Mchs Hospitals Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
Mailing Address | Practice Location Address |
---|---|
Kallen Krause, 855 S Main St, Oconto Falls, WI 54154-1241 Ph: (920) 846-3444 | Kallen Krause, 855 S Main St, Oconto Falls, WI 54154-1241 Ph: (920) 846-3444 |
Raeann Jo Bennett, D-PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 833 S Main St, Oconto Falls, WI 54154 Phone: 920-846-3092 Fax: 920-846-8313 | |
Karlee A Gezella, D-PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 107 E Highland Dr, Oconto Falls, WI 54154 Phone: 920-846-3092 Fax: 920-846-8313 | |
Ryley Ruzek, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 835 S Main St, Oconto Falls, WI 54154 Phone: 920-496-4700 | |
St Clare Memorial Hospital Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 855 S Main St, Oconto Falls, WI 54154 Phone: 920-846-3444 Fax: 920-846-0754 | |
Anna Lopas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 835 S Main St, Oconto Falls, WI 54154 Phone: 900-846-3444 | |
Olivia Marie Smaney, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 855 S Main St, Oconto Falls, WI 54154 Phone: 920-846-3444 Fax: 920-846-0754 | |
Sara Uecke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 855 S Main St, Oconto Falls, WI 54154 Phone: 920-846-3444 Fax: 920-846-0754 |