| Michael K Taylor, MD | |
|
800 West Ave S, La Crosse, WI 54601-8806 | |
| (608) 785-0940 | |
| Not Available |
| Full Name | Michael K Taylor |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 800 West Ave S, 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 |
|---|---|---|---|
| 1467746818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036.153077 (Illinois) | Secondary |
| 208000000X | Pediatrics | 75177 (Minnesota) | Secondary |
| 208000000X | Pediatrics | 104027 (Wisconsin) | Primary |
| Entity Name | Commonwealth Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285858290 PECOS PAC ID: 7719075167 Enrollment ID: O20071212000093 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael K Taylor, MD Po Box 860912, Provider Enrollment, Minneapolis, MN 55486-0912 Ph: (507) 284-2511 | Michael K Taylor, MD 800 West Ave S, La Crosse, WI 54601-8806 Ph: (608) 785-0940 |
Dr. Olakunle Joseph Oni, MD, MPH Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 |
Ashley Corinne Logan, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 West Avenue S, La Crosse, WI 54601 Phone: 608-785-0940 |
Clayton J Menagh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-392-9881 |
Judy L Klevan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |
Sarah Cole, Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |
Antoinette M Peters, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |
Christen R Chamberland, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1900 South Ave, La Crosse, WI 54601 Phone: 608-785-0940 |