| Tiana M Imhoff, PA-C | |
|
1515 Park Ave, Columbus, WI 53925 | |
| (920) 623-2200 | |
| Not Available |
| Full Name | Tiana M Imhoff |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 1515 Park Ave, Columbus, 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 |
|---|---|---|---|
| 1487094686 | NPI | - | NPPES |
| 1487094686 | Medicaid | WI | |
| 1487094686 | Other | WI | BCBSWI |
| WEISSTIA | Other | WI | MERCYCARE INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 3158-23 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prairie Ridge Health | Columbus, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prairie Ridge Health Inc | 6800791484 | 70 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Entity Name | Reedsburg Area Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891796710 PECOS PAC ID: 9830008259 Enrollment ID: O20031208000083 |
| Entity Name | Prairie Ridge Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154403657 PECOS PAC ID: 6800791484 Enrollment ID: O20040210000777 |
| Entity Name | Madison Emergency Physicians SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588646095 PECOS PAC ID: 4587631858 Enrollment ID: O20040915000748 |
| Entity Name | Prairie Ridge Health Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1841376183 PECOS PAC ID: 6800791484 Enrollment ID: O20120307000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiana M Imhoff, PA-C 1515 Park Ave, Columbus, WI 53925-1618 Ph: (920) 623-2200 | Tiana M Imhoff, PA-C 1515 Park Ave, Columbus, WI 53925 Ph: (920) 623-2200 |
Rene A Gellings, PA C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1513 Park Ave, Columbus, WI 53925 Phone: 920-623-9611 Fax: 920-623-9611 |
Katherine F Taylor, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 920-623-2200 |
Heidi Hughes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1511 Park Ave, Columbus, WI 53925 Phone: 920-623-5226 |
Kelsey Gorski, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 920-623-2200 |
Amanda Romens, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 920-623-2200 |
Janyne Rochelle Bolliger, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1678 Esker Trl, Columbus, WI 53925 Phone: 608-213-5574 |