Kathryn A Baker, PHD | |
1836 South Ave, La Crosse, WI 54601-5429 | |
(608) 782-7300 | |
Not Available |
Full Name | Kathryn A Baker |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 1836 South Ave, La Crosse, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801891056 | NPI | - | NPPES |
39146200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 2505 (Wisconsin) | Primary |
Entity Name | Gundersen Clinic Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
Entity Name | Gundersen Lutheran Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
Mailing Address | Practice Location Address |
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Kathryn A Baker, PHD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Kathryn A Baker, PHD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
Dr. Michael David Smith, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Carol Goulet, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 507-284-1373 | |
Michelle Mcelligott, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Dr. Meganruth Christine Schumacher-martinez, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2920 East Ave S Ste 100, La Crosse, WI 54601 Phone: 608-218-4234 | |
Maria C Graf, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Verne E Lewis, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Kevin M Boland, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 Fax: 608-775-4467 |