Grace Lorraine Kalk, PA is a
Physician Assistant based in Pulaski, Wisconsin. Grace Lorraine Kalk is licensed to practice in Wisconsin (license number 1034) and her current practice location is
940 S Saint Augustine St, Pulaski, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 496-4700.
NPI number for Grace Lorraine Kalk is 1063433316 and her current mailing address is 620 Smith Ave, Oconto, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063433316.
Provider's Profile
| Full Name | Grace Lorraine Kalk |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 940 S Saint Augustine St, Pulaski, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063433316
- Provider Enumeration Date: 07/22/2006
- Last Update Date: 12/20/2018
Medical Identifiers
Medical identifiers for Grace Lorraine Kalk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063433316 | NPI | - | NPPES |
| 42985400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 1034 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Grace Lorraine Kalk is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Grace Lorraine Kalk, PA
620 Smith Ave,
Oconto, WI 54153-1080
Ph: (920) 834-4110 | Grace Lorraine Kalk, PA
940 S Saint Augustine St,
Pulaski, WI 54162-9453
Ph: (920) 496-4700 |
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