| Raquel S Ristau, PAC | |
|
120 2nd Ave Se, Waukon, IA 52172-2073 | |
| (563) 568-3000 | |
| Not Available |
| Full Name | Raquel S Ristau |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 120 2nd Ave Se, Waukon, Iowa |
| 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 |
|---|---|---|---|
| 1265934384 | NPI | - | NPPES |
| 1265934384 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 090856 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| V M H Comunity & Home Care | Waukon, IA | Home health agency |
| Veterans Memorial Hospital | Waukon, IA | Hospital |
| Gundersen Lutheran Medical Center | La crosse, WI | Hospital |
| Winnmed | Decorah, IA | Hospital |
| Crossing Rivers Health Medical Center | Prairie du chien, WI | Hospital |
| Winnmed | Decorah, IA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gundersen Clinic Ltd | 9638082779 | 422 |
| Gundersen Regional Clinics, Llc | 8820450919 | 51 |
| Entity Name | Gundersen Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20040130000561 |
| Entity Name | Veterans Memorial Hospital City of Waukon Ia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235260126 PECOS PAC ID: 1355230293 Enrollment ID: O20040310001544 |
| Entity Name | Winneshiek Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992854863 PECOS PAC ID: 4688582935 Enrollment ID: O20040316001437 |
| Entity Name | Palmer Lutheran Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891744108 PECOS PAC ID: 4284544255 Enrollment ID: O20040317001077 |
| Entity Name | Winneshiek Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1619922051 PECOS PAC ID: 4688582935 Enrollment ID: O20061104000215 |
| Entity Name | Veterans Memorial Hospital City of Waukon Ia |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1164599643 PECOS PAC ID: 1355230293 Enrollment ID: O20101101000478 |
| Entity Name | Gundersen Regional Clinics, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699461558 PECOS PAC ID: 8820450919 Enrollment ID: O20230822002401 |
| Mailing Address | Practice Location Address |
|---|---|
| Raquel S Ristau, PAC 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Raquel S Ristau, PAC 120 2nd Ave Se, Waukon, IA 52172-2073 Ph: (563) 568-3000 |
Jonathan L Hawes, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 40 1st St Se, Waukon, IA 52172 Phone: 563-568-3411 Fax: 563-568-6139 |
Jessica Marie Everman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 2nd Ave Se, Waukon, IA 52172 Phone: 563-568-3000 |