| Katherine Mary Goodenough, APNP | |
|
610 W Adams St, Black River Falls, WI 54615 | |
| (715) 284-4311 | |
| (715) 284-0475 |
| Full Name | Katherine Mary Goodenough |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 610 W Adams St, Black River Falls, 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 |
|---|---|---|---|
| 1982849535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 3584 (Wisconsin) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3584 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Black River Memorial Hospital | Black river falls, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Black River Health Inc | 3173431178 | 52 |
| Entity Name | Krohn Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790777621 PECOS PAC ID: 3577464916 Enrollment ID: O20040119000050 |
| Entity Name | Black River Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811940331 PECOS PAC ID: 3173431178 Enrollment ID: O20040128000517 |
| Entity Name | Black River Health Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1811940331 PECOS PAC ID: 3173431178 Enrollment ID: O20061104000654 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Mary Goodenough, APNP 610 W Adams St, Black River Falls, WI 54615-9010 Ph: () - | Katherine Mary Goodenough, APNP 610 W Adams St, Black River Falls, WI 54615 Ph: (715) 284-4311 |
Brenna Ann Peters, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 W Adams St, Black River Falls, WI 54615 Phone: 715-284-5361 | |
Mrs. Jennifer Christine Hanson, DNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 711 W Adams St, Black River Falls, WI 54615 Phone: 715-284-5361 | |
Lauren Hannelore Hasler, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 W Adams St, Black River Falls, WI 54615 Phone: 715-284-1899 Fax: 715-284-0475 | |
Tina Louise Opelt, RN MS CS FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 711 W Adams St, Black River Falls, WI 54615 Phone: 715-284-3662 | |
Heather Struensee, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 711 W Adams St, Black River Falls, WI 54615 Phone: 715-284-5361 | |
Patricia A Jacobson, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 502 Main St, Black River Falls, WI 54615 Phone: 715-284-2003 Fax: 715-284-2008 | |
Kelsey Underwood, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 610 W Adams St, Black River Falls, WI 54615 Phone: 715-284-4311 |