| Kara J Enerson, PA-C | |
|
710 Riverside Dr, Waupaca, WI 54981-1941 | |
| (715) 256-3000 | |
| (715) 256-3079 |
| Full Name | Kara J Enerson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 710 Riverside Dr, Waupaca, 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 |
|---|---|---|---|
| 1275655797 | NPI | - | NPPES |
| 34412200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1370 (Wisconsin) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 1370 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thedacare Medical Center - Waupaca Inc | Waupaca, WI | Hospital |
| Thedacare Regional Medical Center - Neenah Inc | Neenah, WI | Hospital |
| Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thedacare, Incorporated | 1759294887 | 654 |
| Entity Name | Thedacare, Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Kara J Enerson, PA-C Po Box 8003, Appleton, WI 54912-8003 Ph: (920) 996-3200 | Kara J Enerson, PA-C 710 Riverside Dr, Waupaca, WI 54981-1941 Ph: (715) 256-3000 |
Gabrielle Ann Patri, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000 |
Aaron D. Reineking, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1300 |
Jason Bonfiglio, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 |
Michelle R Oetken, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3062 |
Katherine Margaret Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000 Fax: 715-256-3039 |
Trisha Ann Everson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 920-380-4999 Fax: 920-380-4961 |
Blair M Rathjen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000 Fax: 715-256-3019 |