| Dr Kyle James Dettbarn, MD | |
|
3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | |
| (715) 839-9280 | |
| Not Available |
| Full Name | Dr Kyle James Dettbarn |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 28 Years |
| Location | 3802 Oakwood Mall Dr, Eau Claire, 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 |
|---|---|---|---|
| 1558301465 | NPI | - | NPPES |
| 34400700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | 45848 (Wisconsin) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 45848 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Recover Health Of Wisconsin Inc | Eau claire, WI | Home health agency |
| Mayo Clinic Health System Hospice | Eau claire, WI | Hospice |
| Western Wisconsin Health | Baldwin, WI | Hospital |
| Oakleaf Surgical Hospital | Altoona, WI | Hospital |
| Marshfield Medical Center | Marshfield, WI | Hospital |
| Marshfield Medical Center - Eau Claire | Eau claire, WI | Hospital |
| Wissota Health And Regional Vent Center | Chippewa falls, WI | Nursing home |
| Dove Healthcare-west | Eau claire, WI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oakleaf Clinics Inc | 4486831328 | 90 |
| Entity Name | Black River Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811940331 PECOS PAC ID: 3173431178 Enrollment ID: O20040128000517 |
| Entity Name | Oakleaf Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295127082 PECOS PAC ID: 4486831328 Enrollment ID: O20110602000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kyle James Dettbarn, MD 719 W Hamilton Ave Ste B, Eau Claire, WI 54701-6970 Ph: (715) 552-9784 | Dr Kyle James Dettbarn, MD 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 Ph: (715) 839-9280 |
Patrick D Macken, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1425 Elderberry Ln, Eau Claire, WI 54701 Phone: 715-832-9801 | |
Sandeep K Basu, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Myles David Keroack, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2116 Craig Rd, Eau Claire, WI 54701 Phone: 715-858-4500 | |
Rebecca M Kallunki, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Dr. Sameer Ahmad Batoo, MBBS Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Ali Zaied, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 | |
Dr. Sandeep Sharad Pangarkar, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 |