| Elizabeth S Bensen, MD | |
|
421 Camelot Dr, Fond Du Lac, WI 54935-8335 | |
| (920) 926-8571 | |
| Not Available |
| Full Name | Elizabeth S Bensen |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 34 Years |
| Location | 421 Camelot Dr, 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 |
|---|---|---|---|
| 1366433435 | NPI | - | NPPES |
| 260027755 | Other | WI | RAILROAD MEDICARE |
| 32247200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 38153 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Portneuf Medical Center | Pocatello, ID | Hospital |
| St Agnes Hospital | Fond du lac, WI | Hospital |
| Ssm Health St Mary's Hospital - Madison | Madison, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Agnesian Healthcare Inc | 1658289624 | 360 |
| Lifepoint Rehab Physician Services Llc | 3678932043 | 3 |
| Lifepoint Rehab Physician Services Llc | 3678932043 | 3 |
| 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 |
| Entity Name | Dean Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth S Bensen, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340 | Elizabeth S Bensen, MD 421 Camelot Dr, Fond Du Lac, WI 54935-8335 Ph: (920) 926-8571 |
Holly J Weiland, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937 Phone: 920-907-7270 | |
Jenna Lindsley, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-5370 | |
Dr. Kris A Homb, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8571 | |
Shannon Schroeder, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937 Phone: 920-907-7270 |