MOLLIE KALLAS


Address: 2000 Fordem Ave, Madison, WI 53704-4600
Phone: 6082802740

MOLLIE KALLAS (NPI# 1376187195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376187195
Entity Type Individual
Full Name MOLLIE KALLAS
Practice Address 2000 Fordem Ave
Madison
WI 53704-4600
Mailing Address 353 W James St
Columbus
WI 53925-1574
Practice Telephone 6082802740
Enumeration Date 2019-11-05
Last Update Date 2019-11-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Office Location

Street Address 2000 FORDEM AVE
City MADISON
State WI
Zip Code 53704-4600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659588713 Mary-jo Olsen Social Worker 2000 Fordem Ave, Madison, WI 53704-4600 2007-05-17
1598362543 Katelynn Joy Andrews Case Manager/Care Coordinator 2000 Fordem Ave, Madison, WI 53704-4600 2020-10-02
1578174694 Cooper B Simpson Social Worker 2000 Fordem Ave, Madison, WI 53704-4600 2020-08-12
1982221933 Nicholas E Ballweg Case Manager/Care Coordinator 2000 Fordem Ave, Madison, WI 53704-4600 2020-06-25
1376182998 Emily Alice Prissel Registered Nurse 2000 Fordem Ave, Madison, WI 53704-4600 2019-12-30
1891344206 Yilin Wang Specialist 2000 Fordem Ave, Madison, WI 53704-4600 2019-09-09
1033767306 Melanie Paige Mason Case Manager/Care Coordinator 2000 Fordem Ave, Madison, WI 53704-4600 2019-08-29
1821645631 Eva Marie Hyndiuk Case Manager/Care Coordinator 2000 Fordem Ave, Madison, WI 53704-4600 2019-08-26
1225684525 Alex Lamontagne Registered Nurse 2000 Fordem Ave, Madison, WI 53704-4600 2019-08-13
1376103960 Kathryn Frances Haznaw Case Manager/Care Coordinator 2000 Fordem Ave, Madison, WI 53704-4600 2019-06-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407369614 Joseph Michael Oakley II Chiropractor 2801 International Ln Ste 102, Madison, WI 53704 2017-11-09
1972015048 Suzanne Lee Psychiatry & Neurology 1835 Winnebago St. #402, Madison, WI 53704 2017-10-30
1831554021 Gideon Kazah Licensed Practical Nurse 2488 Dahle Street, Madison, WI 53704 2015-12-15
1174952220 Group Health Cooperative of South Central Wisconsin Madison College Durable Medical Equipment & Medical Supplies 1705 Hoffman Street, Madison, WI 53704 2013-11-08
1407190127 Ashley Marie Snyder Social Worker 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 2012-11-19
1619230638 Dawn Lynette Butts Optometrist 4208 E Washington Ave, Madison, WI 53704 2012-06-25
1679865992 Sharon Kelley Psychologist 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 2011-05-04
1578730412 St. Charles Youth & Family Services Community Based Residential Treatment Facility, Mental Illness 310 Troy Dr, Cottage B, Madison, WI 53704 2008-05-09
1538346960 Elizabeth Ann Reiser-loeber Dentist 1001 N. Sherman Ave, Madison, WI 53704 2008-01-28
1861683088 Stephen Dale Flach Internal Medicine Covance, 3402 Kinsman Blvd, Madison, WI 53704 2007-08-05
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275132946 Alice M Franks-gray Case Manager/Care Coordinator Esu/bayside/crisis Stabilization, 702 W Main Street, Madison, WI 53715-1424 2020-10-22
1073129391 John Raby Case Manager/Care Coordinator 471 Main St Ste B, Madison, WV 25130-1223 2020-09-22
1588272488 Samantha Rose Vaught Case Manager/Care Coordinator 157 Greenwood Dr, Madison, AL 35758-1403 2020-07-16
1598381915 Errica Braun Case Manager/Care Coordinator 4 N Hancock St, Madison, WI 53703-2802 2020-06-22
1093350563 The Hmong Institute Incorporated Case Manager/Care Coordinator 4402 Femrite Dr, Madison, WI 53716-4122 2019-11-08
1548818776 James Martin Case Manager/Care Coordinator 315 Sw Jeanette Cir, Madison, FL 32340-1155 2019-08-30
1275185522 Selina Lor Case Manager/Care Coordinator 17 Daystar Ct Apt D, Madison, WI 53704-7354 2019-07-16
1154897163 Avenues To Community Inc Case Manager/Care Coordinator 579 Donofrio Dr Ste 208, Madison, WI 53719-2839 2018-10-17
1023518214 Anthony Dwain Pettus Jr. Case Manager/Care Coordinator 100 Spenryn Dr, Madison, AL 35758-1890 2018-02-14
1720507585 Heather Marie Forney Case Manager/Care Coordinator 208 E Olin Ave, Madison, WI 53713-1434 2017-09-13
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Competitor

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City MADISON
Zip Code 53704

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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