| Angela E House, PA | |
|
18601 Lincoln St, Whitehall, WI 54773 | |
| (715) 538-4355 | |
| Not Available |
| Full Name | Angela E House |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 18601 Lincoln St, Whitehall, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396741823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 4322 (Wisconsin) | Primary |
| 363AM0700X | Physician Assistant - Medical | 9566 (Minnesota) | Secondary |
| Entity Name | Gundersen Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031113000579 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela E House, PA 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Angela E House, PA 18601 Lincoln St, Whitehall, WI 54773 Ph: (715) 538-4355 |
Mr. Mark R Zellmer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18606 Ervin St, Whitehall, WI 54773 Phone: 715-538-4355 |
Brian S Vike, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18606 Ervin St, Whitehall, WI 54773 Phone: 715-538-4355 |
Jeffery Scott Herried, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18606 Ervin St, Whitehall, WI 54773 Phone: 715-538-4355 |
Caitlin Marie Luttropp, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18601 Lincoln St, Whitehall, WI 54773 Phone: 715-538-4361 |
Douglas B Moericke, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18601 Lincoln St, Whitehall, WI 54773 Phone: 715-538-4361 |
Bethany Rose Yard, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18601 Lincoln Street, Whitehall, WI 54773 Phone: 715-538-4361 Fax: 715-538-2912 |
Tayla J Perotti, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18601 Lincoln St, Whitehall, WI 54773 Phone: 715-538-4361 |