| Memorial Hospital Of Lafayette County | |
|
800 Clay St Darlington WI 53530-1228 | |
| (608) 776-4466 | |
| (608) 776-5701 |
| Full Name | Memorial Hospital Of Lafayette County |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 Clay St, Darlington, Wisconsin |
| Authorized Official Name and Position | Kathy Margaret Kuepers (CEO) |
| Authorized Official Contact | 6087765718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Hospital Of Lafayette County 800 Clay St Darlington WI 53530-1228 Ph: (608) 776-4466 | Memorial Hospital Of Lafayette County 800 Clay St Darlington WI 53530-1228 Ph: (608) 776-4466 |
| NPI Number | 1114987054 |
|---|---|
| Provider Enumeration Date | 03/24/2006 |
| Last Update Date | 04/12/2024 |
| Medicare PECOS PAC ID | 9436054772 |
|---|---|
| Medicare Enrollment ID | O20031201000476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114987054 | NPI | - | NPPES |
| 32765900 | Medicaid | WI | |
| 42060900 | Medicaid | WI | |
| 11014810 | Medicaid | WI | |
| 3323770 | Medicaid | WI | |
| 11014800 | Medicaid | WI | |
| 32946300 | Medicaid | WI | |
| 41227700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 1015 (Wisconsin) | Secondary |
| Provider Name | Michele A. Roelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790770550 PECOS PAC ID: 1355318965 Enrollment ID: I20041022000867 |
| Provider Name | Edward J Foster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265409965 PECOS PAC ID: 4385668565 Enrollment ID: I20060116000409 |
| Provider Name | Matthew W Solverson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154300507 PECOS PAC ID: 3870540909 Enrollment ID: I20061116000096 |
| Provider Name | Daniel M Stormont |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598782039 PECOS PAC ID: 4688759087 Enrollment ID: I20080310000458 |
| Provider Name | Eugene H Kaji |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093776874 PECOS PAC ID: 8921185935 Enrollment ID: I20080401000644 |
| Provider Name | Barbara R Hostetler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649248022 PECOS PAC ID: 8729146956 Enrollment ID: I20081016000496 |
| Provider Name | Debasish Bhattacharyya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265498778 PECOS PAC ID: 4587662234 Enrollment ID: I20090803000601 |
| Provider Name | Robert E Schmus |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497738637 PECOS PAC ID: 1658401021 Enrollment ID: I20100610000932 |
| Provider Name | Matthew P Lazio |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790978260 PECOS PAC ID: 6608913942 Enrollment ID: I20100727000129 |
| Provider Name | Pankaj Kaul |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376771105 PECOS PAC ID: 8123211919 Enrollment ID: I20101025001345 |
| Provider Name | Michael A Netzel |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1366541369 PECOS PAC ID: 1658565932 Enrollment ID: I20101101000143 |
| Provider Name | Timothy J Daley |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902000946 PECOS PAC ID: 7810173945 Enrollment ID: I20110525000285 |
| Provider Name | Matthew Arensdorff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255644621 PECOS PAC ID: 1557486784 Enrollment ID: I20111011000486 |
| Provider Name | Marian R Walker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801842562 PECOS PAC ID: 4082622782 Enrollment ID: I20120619000413 |
| Provider Name | Samantha Rose Vaassen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346528858 PECOS PAC ID: 2567619638 Enrollment ID: I20120823000970 |
| Provider Name | Adam Gepner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033343348 PECOS PAC ID: 7012167372 Enrollment ID: I20121022000640 |
| Provider Name | Melissa Leib |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598833006 PECOS PAC ID: 7618020991 Enrollment ID: I20130702000087 |
| Provider Name | Mohun Ramratnam |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497809198 PECOS PAC ID: 1153411376 Enrollment ID: I20130731000452 |
| Provider Name | Eric T Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417156142 PECOS PAC ID: 9638210339 Enrollment ID: I20130808000119 |
| Provider Name | Sandra L Mccatty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679524045 PECOS PAC ID: 9830169663 Enrollment ID: I20140605001662 |
| Provider Name | Alethea A. Hein |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316174931 PECOS PAC ID: 0648448498 Enrollment ID: I20141030000908 |
| Provider Name | Renee D Edge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811364508 PECOS PAC ID: 8325356124 Enrollment ID: I20150928002463 |
| Provider Name | Bhanu P Sankineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063675619 PECOS PAC ID: 5799947669 Enrollment ID: I20151204000391 |
| Provider Name | Srikanth Bathula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710290036 PECOS PAC ID: 4587802616 Enrollment ID: I20160215000959 |
| Provider Name | Eli Michael Burks |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194131813 PECOS PAC ID: 4385940022 Enrollment ID: I20170816002948 |
| Provider Name | Lisa A Bourquin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700308558 PECOS PAC ID: 9739454620 Enrollment ID: I20171003004648 |
| Provider Name | Jappan J Bhatt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669594115 PECOS PAC ID: 2567562952 Enrollment ID: I20171026001437 |
| Provider Name | Sai Prashanth Babu Palepu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558673152 PECOS PAC ID: 3072757616 Enrollment ID: I20171121002915 |
| Provider Name | Lucas A Suthers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699111633 PECOS PAC ID: 3678833928 Enrollment ID: I20180205002100 |
| Provider Name | Ian M Stormont |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184966400 PECOS PAC ID: 5799075008 Enrollment ID: I20180730000938 |
| Provider Name | Emily Ruth Stormont |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053771212 PECOS PAC ID: 6002168747 Enrollment ID: I20181009000716 |
| Provider Name | Kelli M Lecher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255746525 PECOS PAC ID: 7911124540 Enrollment ID: I20190314001522 |
| Provider Name | Donald Hay |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1326040098 PECOS PAC ID: 5092721415 Enrollment ID: I20200124001588 |
| Provider Name | William D Weber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972994655 PECOS PAC ID: 2264701077 Enrollment ID: I20200323002120 |
| Provider Name | Young Soo Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295703494 PECOS PAC ID: 0648261974 Enrollment ID: I20210311001056 |
| Provider Name | Dana Beth Gruenenfelder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245909969 PECOS PAC ID: 3173912458 Enrollment ID: I20211106000086 |
| Provider Name | Sara S Vandegrift |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457979197 PECOS PAC ID: 1254757180 Enrollment ID: I20220328000792 |
| Provider Name | Dale Chilson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1235141664 PECOS PAC ID: 5496817538 Enrollment ID: I20220607000494 |
| Provider Name | Theodore S Toerne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902814502 PECOS PAC ID: 0345231403 Enrollment ID: I20230131000898 |
| Provider Name | Eamon Doherty Bernardoni |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306342936 PECOS PAC ID: 8820345903 Enrollment ID: I20230801003571 |
| Provider Name | Mitchell Whalen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992486336 PECOS PAC ID: 7618339078 Enrollment ID: I20230816003192 |
| Provider Name | Venkata Yearva |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699045641 PECOS PAC ID: 7214179043 Enrollment ID: I20231002002364 |
| Provider Name | Thammi Raju Vegiraju |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356611958 PECOS PAC ID: 5092956748 Enrollment ID: I20231024001897 |
| Provider Name | Caitlin Mary Eigsti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487438065 PECOS PAC ID: 4981047933 Enrollment ID: I20240207001633 |
Darlington Area Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 435 Main St, Darlington, WI 53530 Phone: 608-776-2082 | |
Lafayette County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 731 Clay St, Darlington, WI 53530 Phone: 608-776-4466 | |
Family Health Of Lafayette County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 731 Clay St, Darlington, WI 53530 Phone: 608-776-4497 Fax: 608-776-2317 |