| Kevin J Mcclelland, MD | |
|
1615 Maple Ln, Ashland, WI 54806-3610 | |
| (715) 685-5290 | |
| (715) 685-5118 |
| Full Name | Kevin J Mcclelland |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1615 Maple Ln, Ashland, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003850918 | NPI | - | NPPES |
| 521359 | Other | PTAN | |
| 31836700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 33292 (Wisconsin) | Primary |
| Entity Name | Memorial Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437179231 PECOS PAC ID: 8022000447 Enrollment ID: O20040402000938 |
| Entity Name | Memorial Medical Center Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1437179231 PECOS PAC ID: 8022000447 Enrollment ID: O20070625000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin J Mcclelland, MD 1615 Maple Ln, Ashland, WI 54806-3610 Ph: (715) 685-5500 | Kevin J Mcclelland, MD 1615 Maple Ln, Ashland, WI 54806-3610 Ph: (715) 685-5290 |
Beret Ann Casey, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1615 Maple Ln Ste 1, Ashland, WI 54806 Phone: 715-685-7500 | |
Mark Kenyon Belknap, Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1625 Maple Ln, Ashland, WI 54806 Phone: 715-685-7500 | |
Clair Marcus Morud, Gastroenterology Medicare: Medicare Enrolled Practice Location: 1615 Maple Ln Ste 1, Ashland, WI 54806 Phone: 715-685-7500 | |
Dennis Lee Zahm, Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1625 Maple Ln, Ashland, WI 54806 Phone: 715-685-7500 | |
Kim Marie Ogle, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1615 Maple Ln Ste 1, Essentia Health Ashland Clinic, Ashland, WI 54806 Phone: 715-685-7500 | |
Mr. Bradley C Irwin, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1615 Maple Lane, Ashland, WI 54806 Phone: 715-685-6010 Fax: 715-682-0738 |