| Miss Kelli Ostermann, MD | |
|
855 Mankato Ave, Winona, MN 55987-4868 | |
| (507) 454-3680 | |
| Not Available |
| Full Name | Miss Kelli Ostermann |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 855 Mankato Ave, Winona, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801973979 | NPI | - | NPPES |
| 6761770 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 5507 (South Dakota) | Primary |
| 208000000X | Pediatrics | 42795 (Wisconsin) | Secondary |
| 208000000X | Pediatrics | 55411 (Minnesota) | Secondary |
| Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
| Entity Name | Westfields Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881640183 PECOS PAC ID: 2264490960 Enrollment ID: O20090122000350 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Kelli Ostermann, MD 855 Mankato Ave, Winona, MN 55987-4868 Ph: (507) 454-3680 | Miss Kelli Ostermann, MD 855 Mankato Ave, Winona, MN 55987-4868 Ph: (507) 454-3680 |
Dr. Vivian R Rider, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1122 W Highway 61, Winona, MN 55987 Phone: 507-615-0600 | |
Sarah Ann Lallaman, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 855 Mankato Ave, Winona, MN 55987 Phone: 507-454-3650 Fax: 507-457-7737 | |
Sheila A Hadaway, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 859 Mankato Avenue, Winona Clinic Ltd, Winona, MN 55987 Phone: 507-454-3680 Fax: 507-457-7672 |