| Kemell Health Llc | |
|
W5491 Windmill Ridge Rd New Glarus WI 53574-9489 | |
| (608) 212-2092 | |
| (928) 277-4942 |
| Full Name | Kemell Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | W5491 Windmill Ridge Rd, New Glarus, Wisconsin |
| Authorized Official Name and Position | Olga L Almanza (COO) |
| Authorized Official Contact | 6085183654 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kemell Health Llc W5491 Windmill Ridge Rd New Glarus WI 53574-9489 Ph: (608) 212-2092 | Kemell Health Llc W5491 Windmill Ridge Rd New Glarus WI 53574-9489 Ph: (608) 212-2092 |
| NPI Number | 1487274247 |
|---|---|
| Provider Enumeration Date | 04/22/2020 |
| Last Update Date | 07/06/2023 |
| Medicare PECOS PAC ID | 5597189571 |
|---|---|
| Medicare Enrollment ID | O20200723001226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487274247 | NPI | - | NPPES |
| 1487274247 | Other | NPI | |
| K100698488 | Other | WI | PTAN |
| Z244505 | Other | AZ | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | John N Gietzen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538178025 PECOS PAC ID: 0446154397 Enrollment ID: I20050127000330 |
| Provider Name | Mary S Buffington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699858472 PECOS PAC ID: 5294808085 Enrollment ID: I20080728000296 |
| Provider Name | Michael A Petrelli |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184264780 PECOS PAC ID: 1557785649 Enrollment ID: I20220601001557 |
Acorn Dietetics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 906 10th Ave, New Glarus, WI 53574 Phone: 704-608-6613 |