| Kelly Janell Seib, MD | |
|
1111 W Wisconsin St, Sparta, WI 54656-2233 | |
| (608) 269-6731 | |
| Not Available |
| Full Name | Kelly Janell Seib |
|---|---|
| Gender | Female |
| Speciality | Geriatric Medicine |
| Experience | 22 Years |
| Location | 1111 W Wisconsin St, Sparta, 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 |
|---|---|---|---|
| 1831157114 | NPI | - | NPPES |
| FEHREKEL | Other | WI | MERCYCARE INSURANCE |
| 1831157114 | Other | WI | BCBSWI |
| 1831157114 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | 48684 (Wisconsin) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 48684-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Recover Health Of Wisconsin Inc | La crosse, WI | Home health agency |
| Gundersen Lutheran Medical Center | La crosse, WI | Hospice |
| Gundersen Lutheran Medical Center | La crosse, WI | Hospital |
| Morrow Memorial Home | Sparta, WI | Nursing home |
| Rolling Hills Rehab Ctr | Sparta, WI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gundersen Clinic Ltd | 9638082779 | 345 |
| 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 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Entity Name | Gundersen Lutheran Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225873458 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Janell Seib, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Kelly Janell Seib, MD 1111 W Wisconsin St, Sparta, WI 54656-2233 Ph: (608) 269-6731 |