| Christian O Debranin, MD | |
|
800 West Ave S, La Crosse, WI 54601-8806 | |
| (608) 392-9510 | |
| (608) 392-9860 |
| Full Name | Christian O Debranin |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Hematology & Oncology |
| Location | 800 West Ave S, 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 |
|---|---|---|---|
| 1417036005 | NPI | - | NPPES |
| 34311000 | Medicaid | WI | |
| 000000220347 | Other | KY | ANTHEM BCBS |
| 6427870800 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 45184 (Wisconsin) | Primary |
| 207RH0003X | Internal Medicine - Hematology & Oncology | 27870 (Kentucky) | Secondary |
| Entity Name | Brainerd Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295801777 PECOS PAC ID: 0648270272 Enrollment ID: O20070105000140 |
| Mailing Address | Practice Location Address |
|---|---|
| Christian O Debranin, MD 700 West Ave S, Physician Services Dept, La Crosse, WI 54601-4783 Ph: (608) 392-4156 | Christian O Debranin, MD 800 West Ave S, La Crosse, WI 54601-8806 Ph: (608) 392-9510 |
Mary K Frohnauer, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-775-2021 | |
Derek A Hupp, Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Madeline Rita Fasen, DO Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Allen C. Foster, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Padmavathi Mali, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Emily Catherine Dolan, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Adie D Harbin Iii, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |