| Elena I Sidorenko, MD | |
|
700 West Ave S, La Crosse, WI 54601-4783 | |
| (608) 785-0940 | |
| Not Available |
| Full Name | Elena I Sidorenko |
|---|---|
| Gender | Female |
| Speciality | Gastroenterology |
| Experience | 39 Years |
| Location | 700 West Ave S, 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 |
|---|---|---|---|
| 1831281674 | NPI | - | NPPES |
| 04-29606 | Other | KS | MEDICAL LICENSE |
| 48105031 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 20965 (Wisconsin) | Primary |
| 207RG0100X | Internal Medicine - Gastroenterology | 43384 (Colorado) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Uch-memorial Health System | Colorado springs, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gastroenterology Associates Of Colorado Springs Llp | 2163416934 | 8 |
| Entity Name | Gastroenterology Associates Of Colorado Springs Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457498396 PECOS PAC ID: 2163416934 Enrollment ID: O20040413001806 |
| Mailing Address | Practice Location Address |
|---|---|
| Elena I Sidorenko, MD 200 1st St Sw, Rochester, MN 55905-0002 Ph: (608) 785-0940 | Elena I Sidorenko, MD 700 West Ave S, La Crosse, WI 54601-4783 Ph: (608) 785-0940 |
Mary K Frohnauer, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-775-2021 | |
Derek A Hupp, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Madeline Rita Fasen, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Allen C. Foster, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Padmavathi Mali, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Emily Catherine Dolan, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Adie D Harbin Iii, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |