Dr Kansas L Du Bray, MD - Medicare Internal Medicine in Baraboo, WI

Dr Kansas L Du Bray, MD is a medicare enrolled "Pediatrics" physician in Baraboo, Wisconsin. He went to University Of Minnesota Medical School and graduated in 1998 and has 26 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Prairie Ridge Health Inc, Sauk Prairie Healthcare Inc and his current practice location is S2845 White Eagle Lane, Baraboo, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 355-1240.

Dr Kansas L Du Bray is licensed to practice in Wisconsin (license number 42772020) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003985284.

Contact Information

Dr Kansas L Du Bray, MD
S2845 White Eagle Lane,
Baraboo, WI 53913
(608) 355-1240
(608) 356-6347



Physician's Profile

Full NameDr Kansas L Du Bray
GenderMale
SpecialityInternal Medicine
Experience26 Years
LocationS2845 White Eagle Lane, Baraboo, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kansas L Du Bray attended and graduated from University Of Minnesota Medical School in 1998
  NPI Data:
  • NPI Number: 1003985284
  • Provider Enumeration Date: 11/06/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1951355320
  • Enrollment ID: I20050309000060

Medical Identifiers

Medical identifiers for Dr Kansas L Du Bray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003985284NPI-NPPES
14466OtherDEAN HEALTH PLAN
34175500MedicaidWI
P00054953OtherRAILROAD RETIREMENT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 42772020 (Wisconsin)Primary
208000000XPediatrics 42772020 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sauk Prairie HospitalPrairie du sac, WIHospital
Columbus Community HospitalColumbus, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prairie Ridge Health Inc680079148441
Sauk Prairie Healthcare Inc822494805483

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Medicare Reassignments

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Entity NameThe Monroe Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386720548
PECOS PAC ID: 3072425495
Enrollment ID: O20031104000392

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Entity NameSauk Prairie Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861466153
PECOS PAC ID: 8224948054
Enrollment ID: O20031208000206

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Entity NamePrairie Ridge Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154403657
PECOS PAC ID: 6800791484
Enrollment ID: O20040210000777

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Entity NameSsm Health Care Of Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730160011
PECOS PAC ID: 8527977867
Enrollment ID: O20040326001345

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Entity NameUpland Hills Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821258740
PECOS PAC ID: 3072415553
Enrollment ID: O20081016000442

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Medicare Part D Prescriber Enrollment

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Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kansas L Du Bray, MD
S2845 White Eagle Lane,
Baraboo, WI 53913

Ph: (608) 355-1240
Dr Kansas L Du Bray, MD
S2845 White Eagle Lane,
Baraboo, WI 53913

Ph: (608) 355-1240

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Pediatrics Doctors in Baraboo, WI

Jason Ankumah-saikoom, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1700 Tuttle St, Baraboo, WI 53913
Phone: 608-355-3800    Fax: 608-355-7001
Karen S Ailsworth, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1700 Tuttle St, Baraboo, WI 53913
Phone: 608-355-3800    Fax: 608-355-7001
Justin Blaty, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1626 Tuttle St, Baraboo, WI 53913
Phone: 608-355-2033    Fax: 608-355-6820
Teresa M Mendoza, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1700 Tuttle St, Baraboo, WI 53913
Phone: 608-355-3800    Fax: 608-355-7001

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