Kelly Janell Fehrenbacher, MD | |
1111 W Wisconsin St, Sparta, WI 54656-2233 | |
(608) 269-6731 | |
Not Available |
Full Name | Kelly Janell Fehrenbacher |
---|---|
Gender | Female |
Speciality | Geriatric Medicine |
Experience | 20 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 | 359 |
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: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
Mailing Address | Practice Location Address |
---|---|
Kelly Janell Fehrenbacher, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Kelly Janell Fehrenbacher, MD 1111 W Wisconsin St, Sparta, WI 54656-2233 Ph: (608) 269-6731 |