| Dr Kansas L Du Bray, MD | |
|
S2845 White Eagle Lane, Baraboo, WI 53913 | |
| (608) 355-1240 | |
| (608) 356-6347 |
| Full Name | Dr Kansas L Du Bray |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | S2845 White Eagle Lane, Baraboo, 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 |
|---|---|---|---|
| 1003985284 | NPI | - | NPPES |
| 14466 | Other | DEAN HEALTH PLAN | |
| 34175500 | Medicaid | WI | |
| P00054953 | Other | RAILROAD RETIREMENT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 42772020 (Wisconsin) | Secondary |
| 208000000X | Pediatrics | 42772020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sauk Prairie Hospital | Prairie du sac, WI | Hospital |
| Columbus Community Hospital | Columbus, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prairie Ridge Health Inc | 6800791484 | 58 |
| Sauk Prairie Healthcare Inc | 8224948054 | 93 |
| Entity Name | The Monroe Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386720548 PECOS PAC ID: 3072425495 Enrollment ID: O20031104000392 |
| Entity Name | Sauk Prairie Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861466153 PECOS PAC ID: 8224948054 Enrollment ID: O20031208000206 |
| Entity Name | Prairie Ridge Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154403657 PECOS PAC ID: 6800791484 Enrollment ID: O20040210000777 |
| Entity Name | Ssm Health Care Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730160011 PECOS PAC ID: 8527977867 Enrollment ID: O20040326001345 |
| Entity Name | Upland Hills Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821258740 PECOS PAC ID: 3072415553 Enrollment ID: O20081016000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kansas L Du Bray, MD S2845 White Eagle Lane, Baraboo, WI 53913 Ph: (608) 355-1240 | Dr Kansas L Du Bray, MD S2845 White Eagle Lane, Baraboo, WI 53913 Ph: (608) 355-1240 |
Karen S Ailsworth, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1700 Tuttle St, Baraboo, WI 53913 Phone: 608-355-3800 Fax: 608-355-7001 | |
Teresa M Mendoza, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1700 Tuttle St, Baraboo, WI 53913 Phone: 608-355-3800 Fax: 608-355-7001 |