| Kelle O Anderson, MD | |
|
1687 E Division St, River Falls, WI 54022-1571 | |
| (715) 425-6701 | |
| (715) 425-7075 |
| Full Name | Kelle O Anderson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 1687 E Division St, River Falls, 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 |
|---|---|---|---|
| 1093708505 | NPI | - | NPPES |
| 34288200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 44896 (Minnesota) | Secondary |
| 207Q00000X | Family Medicine | 45023020 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Healtheast St John's Hospital | Maplewood, MN | Hospital |
| Fairview Lakes Health Services | Wyoming, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healtheast Medical Research Institute | 3971407636 | 599 |
| Fairview Clinics | 7113830142 | 736 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Entity Name | Healtheast Medical Research Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelle O Anderson, MD 1687 E Division St, River Falls, WI 54022-1571 Ph: (715) 425-6701 | Kelle O Anderson, MD 1687 E Division St, River Falls, WI 54022-1571 Ph: (715) 425-6701 |
Kerith W Lijewski, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1687 E Division St, River Falls, WI 54022 Phone: 715-425-6701 Fax: 715-425-7075 | |
Christopher H Tashjian, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 319 S Main St, River Falls, WI 54022 Phone: 715-425-6701 Fax: 715-425-7075 | |
Rita M Raverty, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1687 E Division St, River Falls, WI 54022 Phone: 715-425-6701 Fax: 715-425-7075 | |
Tyler Jacob Weyer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1617 E Division St, River Falls, WI 54022 Phone: 715-307-6600 Fax: 715-307-6601 | |
David M Wilhelm, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1687 E Division St, River Falls, WI 54022 Phone: 715-425-6701 Fax: 715-425-7075 | |
Christina Atkinson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 319 S Main St, River Falls, WI 54022 Phone: 715-425-6701 |