| Dr Maude Kettenmann, MD | |
|
1836 South Ave, La Crosse, WI 54601 | |
| (608) 782-7300 | |
| Not Available |
| Full Name | Dr Maude Kettenmann |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 16 Years |
| Location | 1836 South Ave, La Crosse, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760611057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | LP01821 (Rhode Island) | Secondary |
| 207P00000X | Emergency Medicine | 68767 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gundersen Lutheran Medical Center | La crosse, WI | Hospital |
| Tomah Memorial Hospital | Tomah, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gundersen Lutheran Medical Center Inc | 2163331414 | 793 |
| Gundersen Clinic Ltd | 9638082779 | 345 |
| Entity Name | Gundersen Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
| Entity Name | Tomah Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992970453 PECOS PAC ID: 6901897016 Enrollment ID: O20040519000123 |
| Entity Name | Tri-county Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417201864 PECOS PAC ID: 4587642418 Enrollment ID: O20040708000696 |
| Entity Name | Gundersen Lutheran Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225873458 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Maude Kettenmann, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Dr Maude Kettenmann, MD 1836 South Ave, La Crosse, WI 54601 Ph: (608) 782-7300 |
Dr. Stanley John Dziaba, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Raymond D Pollock, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-392-7000 Fax: 608-392-7808 | |
Dr. Marvelene Julia Casner, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Clay Arthur Smith, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 605-787-8702 | |
Dr. Leah Rose Moellers Thompson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Taft Franklin, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Dr. Gabriel L Marsh, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |