| Dr Traci Elizabeth Kruse, MD | |
|
420 E Division St, Fond Du Lac, WI 54935-4560 | |
| (920) 926-8485 | |
| (920) 926-8908 |
| Full Name | Dr Traci Elizabeth Kruse |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 19 Years |
| Location | 420 E Division St, Fond Du Lac, 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 |
|---|---|---|---|
| 1942375324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 55345 (Minnesota) | Secondary |
| 208600000X | Surgery | 938-320 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Agnes Hospital | Fond du lac, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Agnesian Healthcare Inc | 1658289624 | 360 |
| Entity Name | Agnesian Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Traci Elizabeth Kruse, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8343 | Dr Traci Elizabeth Kruse, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8485 |
Christopher A Nervi, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8485 | |
Jon T Moen, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-5760 | |
Donald F Vanbeek, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 210 Wisconsin American Dr, Ste #265, Fond Du Lac, WI 54935 Phone: 920-907-7400 Fax: 920-907-7401 | |
Joanne F Pasiuk, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8485 | |
Richard B Schaefer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8614 | |
Thomas J Carlson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 145 N Main St, Fond Du Lac, WI 54935 Phone: 920-926-8492 | |
Robert H Mikkelsen, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8485 |