| Estelle Ostgard, MD | |
|
W3275 Wolf River Road, Menominee Tribal Clinic, Keshena, WI 54135-0970 | |
| (715) 799-3361 | |
| (715) 799-3099 |
| Full Name | Estelle Ostgard |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 14 Years |
| Location | W3275 Wolf River Road, Keshena, 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 |
|---|---|---|---|
| 1518213115 | NPI | - | NPPES |
| 100047625 | Medicaid | WI | |
| 12083 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | RL12397 (North Dakota) | Secondary |
| 207Q00000X | Family Medicine | 64387 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
| Thedacare Medical Center - Shawano | Shawano, WI | Hospital |
| Shawano Health Services | Shawano, WI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Menominee Indian Tribe Of Wisconsin | 2668459264 | 23 |
| Entity Name | Menominee Indian Tribe Of Wisconsin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568404721 PECOS PAC ID: 2668459264 Enrollment ID: O20040701000838 |
| Mailing Address | Practice Location Address |
|---|---|
| Estelle Ostgard, MD Po Box 970, Menominee Tribal Clinic, Keshena, WI 54135-0970 Ph: (715) 799-3361 | Estelle Ostgard, MD W3275 Wolf River Road, Menominee Tribal Clinic, Keshena, WI 54135-0970 Ph: (715) 799-3361 |
Peter C. Keenan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Road, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-3099 | |
Heather Marie Nennig, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Dr, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-3099 | |
Alexandra Wolf, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Rd, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-5854 | |
Amy J. Slagle, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Road, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-3099 | |
Beth L Gillis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Dr, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-1326 | |
Shannon B Daun, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: W3275 Wolf River Road, Keshena, WI 54135 Phone: 715-799-3361 Fax: 715-799-3099 |