| Carrie Jo Nelson, MD | |
|
2321 Stout Rd, Menomonie, WI 54751-7003 | |
| (715) 235-5531 | |
| (715) 233-7645 |
| Full Name | Carrie Jo Nelson |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 2321 Stout Rd, Menomonie, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578505434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 24008-020 (Wisconsin) | Primary |
| 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 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154372944 PECOS PAC ID: 4385553627 Enrollment ID: O20171012000001 |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie Jo Nelson, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (715) 838-5222 | Carrie Jo Nelson, MD 2321 Stout Rd, Menomonie, WI 54751-7003 Ph: (715) 235-5531 |
Richard D Nagler, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-838-5222 | |
Dr. Lorene L Vedder, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 515 21st St N, Menomonie, WI 54751 Phone: 715-232-9011 | |
Daniel Leroy Johnson, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-5531 Fax: 715-233-7645 | |
Steven G. Brown, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-5531 Fax: 715-233-7645 | |
Bharat Meenavalli, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2321 Stout Rd, Menomonie, WI 54751 Phone: 715-235-9671 |