| Mrs Laura Koenig, MD | |
|
500 Mcmillen St, Fort Atkinson, WI 53538-1233 | |
| (920) 563-5571 | |
| (920) 563-7705 |
| Full Name | Mrs Laura Koenig |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 500 Mcmillen St, Fort Atkinson, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700881869 | NPI | - | NPPES |
| 32420500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 38038 (Wisconsin) | Primary |
| Entity Name | Fort Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417993361 PECOS PAC ID: 0840189718 Enrollment ID: O20040319001411 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Laura Koenig, MD 500 Mcmillen St, Fort Atkinson, WI 53538-1233 Ph: (920) 563-5571 | Mrs Laura Koenig, MD 500 Mcmillen St, Fort Atkinson, WI 53538-1233 Ph: (920) 563-5571 |
Jennifer Ann Winter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1520 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-563-5500 | |
Nathaniel J Fullerton, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 E Sherman Ave, Fort Atkinson, WI 53538 Phone: 920-568-5411 Fax: 920-568-4004 | |
Dr. Ailleen R. Alquinto Anonuevo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 Sherman Ave E, Fort Atkinson, WI 53538 Phone: 920-568-5000 | |
Dane Schultz, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-5571 | |
Dr. Jennifer L Klenske, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 E Sherman Ave, Fort Atkinson, WI 53538 Phone: 920-568-5000 Fax: 920-568-4004 | |
Dr. Thomas Tackman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-5571 Fax: 920-563-7705 |