| Kelly Flack, APNP | |
|
855 N Westhaven Dr, Oshkosh, WI 54904-7668 | |
| (920) 033-8700 | |
| (920) 456-5901 |
| Full Name | Kelly Flack |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 855 N Westhaven Dr, Oshkosh, 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 |
|---|---|---|---|
| 1720601297 | NPI | - | NPPES |
| 10176-33 | Other | WI | WISCONSIN APNP LICENSE |
| 100146891 | Medicaid | WI | |
| 177650-30 | Other | WI | WISCONSIN RN LICENSE |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bellin Memorial Hospital | Green bay, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bellin Memorial Hospital Inc | 8820900749 | 536 |
| Entity Name | Bellin Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609838473 PECOS PAC ID: 8820900749 Enrollment ID: O20031121000089 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Flack, APNP 855 N Westhaven Dr, Oshkosh, WI 54904-7668 Ph: (920) 033-8700 | Kelly Flack, APNP 855 N Westhaven Dr, Oshkosh, WI 54904-7668 Ph: (920) 033-8700 |
Jacqueline Ann Ots, PENDING Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 | |
Angela Lemerande, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 515 S Washburn St Ste 200, Oshkosh, WI 54904 Phone: 920-969-1768 Fax: 920-267-5222 | |
Ms. Joyce E Abbott, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 414 Doctors Ct, Oshkosh, WI 54901 Phone: 920-303-5100 Fax: 920-303-5150 | |
Xing Kong, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 Fax: 920-303-8827 | |
Mrs. Jennifer Mladucky, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2700 W 9th Ave, Suite 11, Oshkosh, WI 54904 Phone: 920-236-1555 | |
Sandralee S Quade, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1855 S Koeller St, Oshkosh, WI 54902 Phone: 920-223-7100 | |
Lindsay R Locklar, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-456-7300 |