| Benjamin John Fraundorf, | |
|
2321 Stout Rd, Menomonie, WI 54751-7003 | |
| (715) 235-9671 | |
| Not Available |
| Full Name | Benjamin John Fraundorf |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 2321 Stout Rd, Menomonie, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851755318 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Health System-northwest Wisconsin Region Inc | 4385553627 | 707 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235588831 PECOS PAC ID: 4385553627 Enrollment ID: O20161109002075 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin John Fraundorf, 200 1st St Sw, Rochester, MN 55905-1510 Ph: (715) 838-5222 | Benjamin John Fraundorf, 2321 Stout Rd, Menomonie, WI 54751-7003 Ph: (715) 235-9671 |
Kiersten Lynette Buck, LPC, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Wilson Ave Rm 330, Menomonie, WI 54751 Phone: 715-256-7166 | |
Rachel Moe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Wilson Ave Rm 330, Menomonie, WI 54751 Phone: 715-256-7166 | |
Kelley Rae Mendalski, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Wilson Ave Rm 330, Menomonie, WI 54751 Phone: 715-256-7166 | |
Kelsey Eileen Trinkner, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 3001 Us Highway 12 E Ste 160, Menomonie, WI 54751 Phone: 715-232-1116 Fax: 715-232-5987 | |
Tanya Danielson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 392 Red Cedar St Ste 3b, Menomonie, WI 54751 Phone: 715-231-2010 | |
Alethea Ann Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: N4762 State Road 25, Menomonie, WI 54751 Phone: 715-231-2010 | |
Victoria Rose Perron, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Wilson Ave Rm 330, Menomonie, WI 54751 Phone: 715-256-7116 |