MOLLIE KALLAS (NPI# 1376187195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
Street Address |
2000 FORDEM AVE |
City | MADISON |
State | WI |
Zip Code | 53704-4600 |
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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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 |
Find all providers in zip 53704 |
Taxonomy Code | 171M00000X |
Grouping | Other Service Providers |
Classification | Case Manager/Care Coordinator |
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] |
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 |
Find all providers in MADISON |
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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.