Krohn Clinic Ltd. - Medicare Primary Care in Black River Falls, WI

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Krohn Clinic Ltd. is a medicare enrolled primary clinic (Family Medicine) in Black River Falls, Wisconsin. The current practice location for Krohn Clinic Ltd. is 610 W Adams St, Black River Falls, Wisconsin. For appointments, you can reach them via phone at (715) 284-4311. The mailing address for Krohn Clinic Ltd. is 610 W Adams St, Black River Falls, Wisconsin and phone number is (715) 284-4311.

Krohn Clinic Ltd. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1790777621. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (715) 284-4311.

Contact Information

Krohn Clinic Ltd.
610 W Adams St
Black River Falls
WI 54615-9010
(715) 284-4311
(715) 284-0475

Map and Direction


Primary Care Clinic Profile

Full NameKrohn Clinic Ltd.
SpecialityFamily Medicine
Location610 W Adams St, Black River Falls, Wisconsin
Authorized Official Name and PositionSandra K Salsman (DIRECTOR OF FINANCE)
Authorized Official Contact7152844311
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Krohn Clinic Ltd.
610 W Adams St
Black River Falls
WI 54615-9010

Ph: (715) 284-4311		Krohn Clinic Ltd.
610 W Adams St
Black River Falls
WI 54615-9010

Ph: (715) 284-4311

NPI Details:

NPI Number1790777621
Provider Enumeration Date08/17/2005
Last Update Date08/28/2019

Medicare PECOS Information:

Medicare PECOS PAC ID3577464916
Medicare Enrollment IDO20040119000050

Medical Identifiers

Medical identifiers for Krohn Clinic Ltd. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790777621NPI-NPPES
0580630001OtherWIMEDICARE - DMEPOS
32726800MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Krohn Clinic Ltd. acts as a billing entity for following providers:
Provider NameKurt R Oettel
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1770585051
PECOS PAC ID: 2860393121
Enrollment ID: I20040119000664
Provider NameKevin M Anderson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932129665
PECOS PAC ID: 9032134739
Enrollment ID: I20051012000115
Provider NameKirk Lane
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003840372
PECOS PAC ID: 3870502206
Enrollment ID: I20060413000113
Provider NameKatherine M Goodenough
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982849535
PECOS PAC ID: 6204991391
Enrollment ID: I20090225000137
Provider NameDarrin Antonelli
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1386673481
PECOS PAC ID: 9234030685
Enrollment ID: I20100109000019
Provider NameMichael A Mahan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922038892
PECOS PAC ID: 0446151898
Enrollment ID: I20100109000059
Provider NameDelbert W Rogers
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124053202
PECOS PAC ID: 7315028453
Enrollment ID: I20100109000081
Provider NameNicholas Kitowski
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1720245103
PECOS PAC ID: 4789853953
Enrollment ID: I20110803000759
Provider NameStephanie L Bantell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225314131
PECOS PAC ID: 1850549742
Enrollment ID: I20120918000912
Provider NameMichelle Clark-forsting
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093073975
PECOS PAC ID: 1759605504
Enrollment ID: I20150127000483
Provider NameJessica Dammen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1770971970
PECOS PAC ID: 4688958986
Enrollment ID: I20170306001625
Provider NameKatrina K Mcgillivray
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578521571
PECOS PAC ID: 0042356115
Enrollment ID: I20171213000311
Provider NameJesse John Susa
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477901395
PECOS PAC ID: 4082906649
Enrollment ID: I20190801002090
Provider NameShelby M Nykiel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356998843
PECOS PAC ID: 7517373665
Enrollment ID: I20210315002682
Provider NameAbigail M Miller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417453697
PECOS PAC ID: 2365870037
Enrollment ID: I20210707003532
Provider NameKaitlyn Cunningham
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588156699
PECOS PAC ID: 2365797446
Enrollment ID: I20210916003293
Provider NameKelsey Underwood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700555331
PECOS PAC ID: 9032508817
Enrollment ID: I20211117000020
Provider NameNicholas Raymond Thompson
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1144716911
PECOS PAC ID: 6305243304
Enrollment ID: I20230125000887
Provider NameLauren Hannelore Hasler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407620099
PECOS PAC ID: 6800247651
Enrollment ID: I20240105003603

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.