| Amy L Tibbits, PA-C | |
|
731 Clay St, Darlington, WI 53530-1225 | |
| (608) 776-4497 | |
| (608) 776-2317 |
| Full Name | Amy L Tibbits |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 731 Clay St, Darlington, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295809564 | NPI | - | NPPES |
| 2064-023 | Other | WI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2064-023 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lafayette Hospital And Clinics | Darlington, WI | Hospital |
| Southwest Health Center | Platteville, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lafayette County | 9436054772 | 27 |
| Entity Name | Southwest Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831279793 PECOS PAC ID: 3072427772 Enrollment ID: O20031117000839 |
| Entity Name | Lafayette County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114987054 PECOS PAC ID: 9436054772 Enrollment ID: O20031201000476 |
| Entity Name | Emergency Medicine Associates of Madison, SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235119769 PECOS PAC ID: 2567455264 Enrollment ID: O20040407001055 |
| Entity Name | Southwest Health Center Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1831279793 PECOS PAC ID: 3072427772 Enrollment ID: O20061104000433 |
| Entity Name | Lafayette County |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1114987054 PECOS PAC ID: 9436054772 Enrollment ID: O20061104000561 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy L Tibbits, PA-C 800 Clay St, Darlington, WI 53530-1228 Ph: (608) 776-4497 | Amy L Tibbits, PA-C 731 Clay St, Darlington, WI 53530-1225 Ph: (608) 776-4497 |
Kari M Depauw, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 Clay St, Darlington, WI 53530 Phone: 608-776-4466 |
Ms. Melinda Thomas, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 731 Clay St, Darlington, WI 53530 Phone: 608-776-4497 Fax: 608-776-2317 |
Ms. Michelle L. Reisen-garvey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 731 Clay St, Darlington, WI 53530 Phone: 608-776-4497 Fax: 608-776-2837 |
Cheyanne Kubatzke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 731 Clay St, Darlington, WI 53530 Phone: 608-776-4497 Fax: 608-776-2837 |