Krohn Clinic Ltd. | |
610 W Adams St Black River Falls WI 54615-9010 | |
(715) 284-4311 | |
(715) 284-0475 |
Full Name | Krohn Clinic Ltd. |
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Speciality | Family Medicine |
Location | 610 W Adams St, Black River Falls, Wisconsin |
Authorized Official Name and Position | Sandra K Salsman (DIRECTOR OF FINANCE) |
Authorized Official Contact | 7152844311 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Krohn Clinic Ltd. 610 W Adams St Black River Falls WI 54615-9010 Ph: (715) 284-4311 | Krohn Clinic Ltd. 610 W Adams St Black River Falls WI 54615-9010 Ph: (715) 284-4311 |
NPI Number | 1790777621 |
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Provider Enumeration Date | 08/17/2005 |
Last Update Date | 08/28/2019 |
Medicare PECOS PAC ID | 3577464916 |
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Medicare Enrollment ID | O20040119000050 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790777621 | NPI | - | NPPES |
0580630001 | Other | WI | MEDICARE - DMEPOS |
32726800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Kurt R Oettel |
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Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1770585051 PECOS PAC ID: 2860393121 Enrollment ID: I20040119000664 |
Provider Name | Danielle B Jacobs |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689694135 PECOS PAC ID: 1355306507 Enrollment ID: I20041130000073 |
Provider Name | Brian R Manske |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1043213895 PECOS PAC ID: 1557264850 Enrollment ID: I20050106000861 |
Provider Name | Lonnie D Simmons |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1851395735 PECOS PAC ID: 2668386707 Enrollment ID: I20050117000212 |
Provider Name | Kevin M Anderson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932129665 PECOS PAC ID: 9032134739 Enrollment ID: I20051012000115 |
Provider Name | Kirk E Lane |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003840372 PECOS PAC ID: 3870502206 Enrollment ID: I20060413000113 |
Provider Name | Jody M Riherd |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1922041623 PECOS PAC ID: 1052484888 Enrollment ID: I20080726000008 |
Provider Name | Gabriela M Dumitran |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1831393164 PECOS PAC ID: 8123194800 Enrollment ID: I20080903000444 |
Provider Name | Katherine M Goodenough |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982849535 PECOS PAC ID: 6204991391 Enrollment ID: I20090225000137 |
Provider Name | Darrin Antonelli |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1386673481 PECOS PAC ID: 9234030685 Enrollment ID: I20100109000019 |
Provider Name | Michael A Mahan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922038892 PECOS PAC ID: 0446151898 Enrollment ID: I20100109000059 |
Provider Name | Delbert W Rogers |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124053202 PECOS PAC ID: 7315028453 Enrollment ID: I20100109000081 |
Provider Name | Darin Dean Damstra |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1558503102 PECOS PAC ID: 6901943679 Enrollment ID: I20100116000285 |
Provider Name | Paul T Stanton |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1528092160 PECOS PAC ID: 1951436146 Enrollment ID: I20100312000509 |
Provider Name | Jedadiah J Schaller |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1790964773 PECOS PAC ID: 9234263070 Enrollment ID: I20100914001159 |
Provider Name | Nicholas J Kitowski |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1720245103 PECOS PAC ID: 4789853953 Enrollment ID: I20110803000759 |
Provider Name | Todd L Ebbert |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1366641383 PECOS PAC ID: 5395911754 Enrollment ID: I20120627000426 |
Provider Name | Heather J Wichman |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1043471972 PECOS PAC ID: 7618124090 Enrollment ID: I20120821000401 |
Provider Name | Stephanie L Bantell |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225314131 PECOS PAC ID: 1850549742 Enrollment ID: I20120918000912 |
Provider Name | Michelle J Clark-forsting |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093073975 PECOS PAC ID: 1759605504 Enrollment ID: I20150127000483 |
Provider Name | Lukasz S Babiarz |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1346476066 PECOS PAC ID: 5395994503 Enrollment ID: I20160112000009 |
Provider Name | Andrew D Prather |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1790947943 PECOS PAC ID: 9133415615 Enrollment ID: I20160912001700 |
Provider Name | Jessica Dammen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1770971970 PECOS PAC ID: 4688958986 Enrollment ID: I20170306001625 |
Provider Name | Katrina K Mcgillivray |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578521571 PECOS PAC ID: 0042356115 Enrollment ID: I20171213000311 |
Provider Name | Marcus W Bickford |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1285070722 PECOS PAC ID: 7810125945 Enrollment ID: I20180531001920 |
Provider Name | Anthony P Zbacnik |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1346508033 PECOS PAC ID: 2163705922 Enrollment ID: I20180809006071 |
Provider Name | Jesse John Susa |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477901395 PECOS PAC ID: 4082906649 Enrollment ID: I20190801002090 |
Provider Name | Anika Nina Watson |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1073776126 PECOS PAC ID: 2062668064 Enrollment ID: I20191204001269 |
Provider Name | Shelby M Nykiel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356998843 PECOS PAC ID: 7517373665 Enrollment ID: I20210315002682 |
Provider Name | Abigail M Miller |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417453697 PECOS PAC ID: 2365870037 Enrollment ID: I20210707003532 |
Provider Name | Kaitlyn Cunningham |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588156699 PECOS PAC ID: 2365797446 Enrollment ID: I20210916003293 |
Provider Name | Kelsey Underwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700555331 PECOS PAC ID: 9032508817 Enrollment ID: I20211117000020 |
Provider Name | Nicholas Raymond Thompson |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1144716911 PECOS PAC ID: 6305243304 Enrollment ID: I20230125000887 |
Provider Name | Lauren Hannelore Hasler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407620099 PECOS PAC ID: 6800247651 Enrollment ID: I20240105003603 |
Art Of Optometry Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 127 Main St, Black River Falls, WI 54615 Phone: 715-284-3111 Fax: 800-380-1741 | |
Black River Falls Dental Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: N6571 Lumberjack Guy Rd, Black River Falls, WI 54615 Phone: 715-670-0400 | |
Ho-chunk Health Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: N6520 Lumberjack Guy Rd, Black River Falls, WI 54615 Phone: 715-284-9851 Fax: 715-284-5150 | |
Footprints In Time Midwifery Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 502 Main St, Black River Falls, WI 54615 Phone: 715-284-2003 Fax: 844-285-4399 | |
Black River Healthcare Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 W Adams St, Black River Falls, WI 54615 Phone: 715-284-5361 | |
Ho-chunk Community Health Care Nursing Program Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: N6520 Lumberjack Guy Rd, Black River Falls, WI 54615 Phone: 715-284-9851 Fax: 715-284-5051 |