Kelly E Hodgson-kline, MD is a medicare enrolled "Pediatrics" physician in Tomah, Wisconsin. She graduated from medical school in 1997 and has 28 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Gundersen Clinic Ltd and her current practice location is
1330 N Superior Ave, Tomah, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 372-5070.
Kelly E Hodgson-kline is licensed to practice in Wisconsin (license number 42237) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508862699.
Physician's Profile
| Full Name | Kelly E Hodgson-kline |
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| Gender | Female |
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| Speciality | Pediatric Medicine |
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| Experience | 28 Years |
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| Location | 1330 N Superior Ave, Tomah, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelly E Hodgson-kline graduated from medical school in 1997
NPI Data:
- NPI Number: 1508862699
- Provider Enumeration Date: 06/23/2005
- Last Update Date: 02/15/2016
Medicare PECOS Information:
- PECOS PAC ID: 1658551999
- Enrollment ID: I20110203000854
Medical Identifiers
Medical identifiers for Kelly E Hodgson-kline such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508862699 | NPI | - | NPPES |
| 34020600 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 42237 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Gundersen Clinic Ltd | 9638082779 | 345 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly E Hodgson-kline allows following entities to bill medicare on her behalf.
| Entity Name | Gundersen Clinic Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031106000139 |
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| Entity Name | Gundersen Lutheran Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225873458
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly E Hodgson-kline is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kelly E Hodgson-kline, MD
1836 South Ave,
La Crosse, WI 54601-5429
Ph: (608) 782-7300 | Kelly E Hodgson-kline, MD
1330 N Superior Ave,
Tomah, WI 54660-1130
Ph: (608) 372-5070 |
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