| Beloit Area Community Health Center | |
|
74 Eclipse Ctr Beloit WI 53511-3550 | |
| (608) 361-0311 | |
| (608) 361-6131 |
| Full Name | Beloit Area Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 74 Eclipse Ctr, Beloit, Wisconsin |
| Authorized Official Name and Position | Julie A. Sprecher (CEO) |
| Authorized Official Contact | 6083610311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beloit Area Community Health Center 74 Eclipse Ctr Beloit WI 53511-3550 Ph: (608) 361-0311 | Beloit Area Community Health Center 74 Eclipse Ctr Beloit WI 53511-3550 Ph: (608) 361-0311 |
| NPI Number | 1750390670 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 10/14/2021 |
| Medicare PECOS PAC ID | 3678565116 |
|---|---|
| Medicare Enrollment ID | O20040402000368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750390670 | NPI | - | NPPES |
| 32956700 | Medicaid | WI | |
| 000054100 | Other | WI | MEDICARE PART A |
| 42216400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Kenneth Ian Robbins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588778583 PECOS PAC ID: 1759291511 Enrollment ID: I20040608000056 |
| Provider Name | Beth J Yount |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407816853 PECOS PAC ID: 5597868588 Enrollment ID: I20070313000016 |
| Provider Name | Robert M Sage |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871523316 PECOS PAC ID: 8224939236 Enrollment ID: I20081111000327 |
| Provider Name | Prashanti Pilla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174704852 PECOS PAC ID: 2769544048 Enrollment ID: I20081219000578 |
| Provider Name | Kimberly S Nestler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720140015 PECOS PAC ID: 8628125101 Enrollment ID: I20090421000262 |
| Provider Name | Troy M Doetch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790718104 PECOS PAC ID: 2961557897 Enrollment ID: I20090828000443 |
| Provider Name | Manuj Goel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689825788 PECOS PAC ID: 9234304122 Enrollment ID: I20111205000139 |
| Provider Name | Katherine J Mcleod |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770874422 PECOS PAC ID: 0648404657 Enrollment ID: I20131007000624 |
| Provider Name | Krystal R Werner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245672708 PECOS PAC ID: 8123253689 Enrollment ID: I20131108001555 |
| Provider Name | Laura Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093110306 PECOS PAC ID: 4789907643 Enrollment ID: I20141229001132 |
| Provider Name | Brittany C Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144742495 PECOS PAC ID: 7214201698 Enrollment ID: I20170923000002 |
| Provider Name | Nathan Putnam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003265133 PECOS PAC ID: 4284987140 Enrollment ID: I20181024000323 |
| Provider Name | Jennifer Leigh Weidner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750438651 PECOS PAC ID: 3072867357 Enrollment ID: I20181127000733 |
| Provider Name | Farhana Hamid-scanlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760815641 PECOS PAC ID: 2860636404 Enrollment ID: I20190621002604 |
| Provider Name | Stacy M Mcnall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477199693 PECOS PAC ID: 2163853607 Enrollment ID: I20200515002079 |
| Provider Name | Monica Reu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255974705 PECOS PAC ID: 5698192508 Enrollment ID: I20200824001955 |
| Provider Name | Giuliana Jose Gonzalez Barrios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497351464 PECOS PAC ID: 3476967803 Enrollment ID: I20210127000157 |
| Provider Name | Mary Pintarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689310179 PECOS PAC ID: 2769861541 Enrollment ID: I20220624001529 |
| Provider Name | Caitlyn Socha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518689439 PECOS PAC ID: 0143691626 Enrollment ID: I20230119002319 |
| Provider Name | Denise Druck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336534791 PECOS PAC ID: 2860790052 Enrollment ID: I20230213000378 |
| Provider Name | Debora Lea Humphrey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699161166 PECOS PAC ID: 0840638342 Enrollment ID: I20240403001116 |
Taylor Family Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1969 W Hart Rd, Beloit, WI 53511 Phone: 877-539-4949 | |
Bouc Family Wellness Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3005 Riverside Dr, Suite 101, Beloit, WI 53511 Phone: 608-365-7200 Fax: 608-365-7202 | |
Family Health Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1904 E Huebbe Pkwy, Beloit, WI 53511 Phone: 608-364-1348 Fax: 608-364-2338 | |
Beloit College Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 College St, Beloit, WI 53511 Phone: 608-364-1348 Fax: 608-364-2236 | |
Beloit Health System, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1905 E Huebbe Pkwy, Beloit, WI 53511 Phone: 608-364-1615 | |
Occupational Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Lee Ln, Beloit, WI 53511 Phone: 608-364-4666 |