| Jeffrey E Thompson, MD | |
|
1836 South Ave, La Crosse, WI 54601-5429 | |
| (608) 782-7300 | |
| Not Available |
| Full Name | Jeffrey E Thompson |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285638049 | NPI | - | NPPES |
| 30596500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 26192 (Wisconsin) | Primary |
| Entity Name | Gundersen Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey E Thompson, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Jeffrey E Thompson, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
Ashley Corinne Logan, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 West Avenue S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Clayton J Menagh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-392-9881 | |
Judy L Klevan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Antoinette M Peters, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Gary R Stiers, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Christen R Chamberland, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1900 South Ave, La Crosse, WI 54601 Phone: 608-785-0940 | |
Kathryn Marie Moen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |