Dr Mitchell Kelly Edquist, MD in La Crosse, WI

Dr Mitchell Kelly Edquist, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in La Crosse, Wisconsin. His current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 782-7300.

Dr Mitchell Kelly Edquist is licensed to practice in Wisconsin (license number 83308-20) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710440821.

Contact Information

	Dr Mitchell Kelly Edquist, MD
	1836 South Ave, La Crosse, WI 54601-5429
	(608) 782-7300
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mitchell Kelly Edquist
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	1836 South Ave, La Crosse, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710440821
Provider Enumeration Date: 04/08/2019
Last Update Date: 07/23/2025

Medicare PECOS Information:

PECOS PAC ID: 7517292592
Enrollment ID: I20240624004048

Medical Identifiers

Medical identifiers for Dr Mitchell Kelly Edquist such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710440821	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	83308-20 (Wisconsin)	Primary
2085R0202X	Radiology - Diagnostic Radiology	2024-00266 (North Carolina)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mitchell Kelly Edquist allows following entities to bill medicare on his behalf.

Entity Name	Duke Health Integrated Practice Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mitchell Kelly Edquist is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Mitchell Kelly Edquist, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300	Dr Mitchell Kelly Edquist, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300

Reviews and Comments

Radiology Doctors in La Crosse, WI

Cameron F Roberts, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Brian R Manske, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Dr. Heather Jo Wichman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1900 South Ave, La Crosse, WI 54601 Phone: 608-775-6569
Robert E Wax, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Douglas G Gold, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Mark C Wickre, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Dr. Ezana M Azene, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300

Dr Mitchell Kelly Edquist, MD - Medicare Radiology in La Crosse, WI