Agnesian Healthcare Inc is a
Family Medicine based in Fond Du Lac, Wisconsin. Agnesian Healthcare Inc is licensed to practice in * (Not Available) (license number ) and their current practice location is
420 E Division St, Fond Du Lac, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(920) 923-7400.
NPI number for Agnesian Healthcare Inc is 1730162991 and their current mailing address is 1808 W Beltline Hwy, Madison, Wisconsin. Agnesian Healthcare Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1730162991.
Healthcare Provider's Profile
| Full Name | Agnesian Healthcare Inc |
|---|
| Type | Facility |
|---|
| Speciality | Family Medicine |
|---|
| Location | 420 E Division St, Fond Du Lac, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1730162991
- Provider Enumeration Date: 11/22/2005
- Last Update Date: 06/05/2024
Medical Identifiers
Medical identifiers for Agnesian Healthcare Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730162991 | NPI | - | NPPES |
| 32841900 | Medicaid | WI | |
| CY0124 | Other | WI | RAILROAD MEDICARE GRP # |
| 38437100 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207L00000X | Anesthesiology | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| 208800000X | Urology | (* (Not Available)) | Secondary |
| 213E00000X | Podiatrist | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Agnesian Healthcare Inc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Agnesian Healthcare Inc
1808 W Beltline Hwy,
Madison, WI 53713-2334
Ph: (608) 250-1593 | Agnesian Healthcare Inc
420 E Division St,
Fond Du Lac, WI 54935-4560
Ph: (920) 923-7400 |
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