| Dane Schultz, | |
|
500 Mcmillen St, Fort Atkinson, WI 53538-1233 | |
| (920) 563-5571 | |
| Not Available |
| Full Name | Dane Schultz |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 500 Mcmillen St, Fort Atkinson, 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 |
|---|---|---|---|
| 1649933748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 11311-11 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marquardt Home Health | Watertown, WI | Home health agency |
| Fort Memorial Hospital | Fort atkinson, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fort Healthcare Inc | 0840189718 | 124 |
| Entity Name | Fort Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417993361 PECOS PAC ID: 0840189718 Enrollment ID: O20040319001411 |
| Mailing Address | Practice Location Address |
|---|---|
| Dane Schultz, Po Box 249, Fort Atkinson, WI 53538-0249 Ph: (920) 568-6580 | Dane Schultz, 500 Mcmillen St, Fort Atkinson, WI 53538-1233 Ph: (920) 563-5571 |
Jennifer Ann Winter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1520 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-563-5500 | |
Nathaniel J Fullerton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 E Sherman Ave, Fort Atkinson, WI 53538 Phone: 920-568-5411 Fax: 920-568-4004 | |
Dr. Ailleen R. Alquinto Anonuevo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000 | |
Mrs. Laura Koenig, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-5571 Fax: 920-563-7705 | |
Dr. Jennifer L Klenske, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 E Sherman Ave, Fort Atkinson, WI 53538 Phone: 920-568-5000 Fax: 920-568-4004 | |
Dr. Thomas Tackman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-5571 Fax: 920-563-7705 |