| Family Medical Center | |
|
9177 Old Potosi Rd Lancaster WI 53813-9437 | |
| (608) 723-4300 | |
| (608) 723-7885 |
| Full Name | Family Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 9177 Old Potosi Rd, Lancaster, Wisconsin |
| Authorized Official Name and Position | Roxann M Anderson (CLINIC MANAGER) |
| Authorized Official Contact | 6087234300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Center Po Box 271 Lancaster WI 53813-0271 Ph: (608) 723-4300 | Family Medical Center 9177 Old Potosi Rd Lancaster WI 53813-9437 Ph: (608) 723-4300 |
| NPI Number | 1295854420 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 11/13/2009 |
| Medicare PECOS PAC ID | 8426146366 |
|---|---|
| Medicare Enrollment ID | O20071112000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295854420 | NPI | - | NPPES |
| 32888000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 261QP2300X (Wisconsin) | Primary |
| Provider Name | Kenneth A Valyo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902863632 PECOS PAC ID: 2062469075 Enrollment ID: I20050401000487 |
| Provider Name | Robert E Stader |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467463273 PECOS PAC ID: 3971691817 Enrollment ID: I20071112000037 |
| Provider Name | Katherine C Reuter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831466705 PECOS PAC ID: 7113184508 Enrollment ID: I20120214000402 |
| Provider Name | Renee D Edge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811364508 PECOS PAC ID: 8325356124 Enrollment ID: I20150928002463 |
Physician Management Services Of Wisconsin, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 E Lincoln Ave, Lancaster, WI 53813 Phone: 888-829-8550 | |
Grant Regional Community Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 507 S Monroe St, Lancaster, WI 53813 Phone: 608-723-2131 Fax: 608-723-4464 | |
Grant Regional Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 S Monroe St, Lancaster, WI 53813 Phone: 608-723-2131 Fax: 608-723-4464 | |
High Point Family Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 E Lincoln Ave, Lancaster, WI 53813 Phone: 608-723-3100 Fax: 866-560-8783 | |
Grant Regional Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 507 S Monroe St, Lancaster, WI 53813 Phone: 608-723-3293 Fax: 608-723-3281 |