| Laurence P Skendzel, MD | |
|
1836 South Ave, La Crosse, WI 54601-5429 | |
| (608) 782-7300 | |
| Not Available |
| Full Name | Laurence P Skendzel |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Hospice And Palliative Medicine |
| Location | 1836 South Ave, La Crosse, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124019252 | NPI | - | NPPES |
| 080045678 | Other | MI | RAILROAD MEDICARE |
| 2946385 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301056424 (Michigan) | Secondary |
| 207QH0002X | Family Medicine - Hospice And Palliative Medicine | 67151 (Wisconsin) | Primary |
| Entity Name | State Of Michigan Office Of Financial Management |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508883299 PECOS PAC ID: 5496650723 Enrollment ID: O20040114000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Laurence P Skendzel, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Laurence P Skendzel, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
Dr. Ian G Latham, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Kelly Ann Carothers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Gabriel T. Berendes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Kristine L Johnson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Dr. Deborah Ann Hatanpa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Kimberly J. Hardy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, Gundersen Health System, La Crosse, WI 54601 Phone: 608-782-7300 | |
Dr. Richard Antonio Cayasso, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |