| Fall General Surgery Llc | |
|
216 3rd St W Suite 201 Ashland WI 54806-1602 | |
| (715) 685-0656 | |
| Not Available |
| Full Name | Fall General Surgery Llc |
|---|---|
| Speciality | Surgery |
| Location | 216 3rd St W, Ashland, Wisconsin |
| Authorized Official Name and Position | George A Fall (OWNER MEMBER) |
| Authorized Official Contact | 7156850656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fall General Surgery Llc 216 3rd St W Suite 201 Ashland WI 54806-1602 Ph: (715) 685-0656 | Fall General Surgery Llc 216 3rd St W Suite 201 Ashland WI 54806-1602 Ph: (715) 685-0656 |
| NPI Number | 1659316396 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 08/27/2025 |
| Medicare PECOS PAC ID | 1850371782 |
|---|---|
| Medicare Enrollment ID | O20040722000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659316396 | NPI | - | NPPES |
| C05818 | Other | MN | MEDICARE PTAN |
| 21280100 | Medicaid | WI | |
| DA5810 | Other | WI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 208600000X | Surgery | 34121 (Wisconsin) | Primary |
| Provider Name | George A Fall |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972545622 PECOS PAC ID: 1759361686 Enrollment ID: I20040722000047 |
| Provider Name | Kelli D Culver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588909402 PECOS PAC ID: 5395981229 Enrollment ID: I20191025000430 |
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