Katie R. Fassbinder, M.D. – Psychiatry Physician

Key facts

NPI: 1710936588
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatry Physician 2084P0800X
License: 1343-TEP (WI)
Practice address: 210 Airport Rd
Viroqua, WI 54665-1159
Phone: (608) 638-7420
Fax: (608) 638-7429
NPI assigned: May 9, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

County of la Crosse Community/Behavioral Health Agency · La Crosse, WI · NPI 1366508897

Medicare reassignment NPD WI
County of Monroe Community/Behavioral Health Agency · Sparta, WI · NPI 1881813152

Medicare reassignment NPD WI
County of la Crosse Primary Care Clinic/Center · La Crosse, WI · NPI 1538165766

NPD
County of Monroe Skilled Nursing Facility · Sparta, WI · NPI 1952306748

NPD
Crawford County CCS Mental Health Clinic/Center (Including Community Mental Health Center) · Prairie Du Chien, WI · NPI 1417333238

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in WI
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20091012000083	WI	Practitioner - Psychiatry	8325184039	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
1343-TEP	WI	MD	Psychiatry Physician
49741	WI	MD	Student in an Organized Health Care Education/Training Program

Practice roles

Organization	Status	New patients
County of la Crosse	Current since Jun 26, 2018	Accepting new patients
County of Monroe	Current since Nov 3, 2015	Accepting new patients
County of Monroe	Current since Nov 3, 2015	Accepting new patients
County of la Crosse	Current since Jun 26, 2018	Accepting new patients
Crawford County CCS	Past since Mar 19, 2017	Accepting new patients

Locations

300 4th St N
La Crosse, WI 54601
Phone (608) 784-4357

210 W Oak St
Sparta, WI 54656
Phone (608) 269-8600

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatry Physician	2084P0800X	1343-TEP	WI	Yes
Student in an Organized Health Care Education/Training Program	390200000X	49741	WI

Addresses

Primary practice location

210 Airport Rd
Viroqua, WI 54665-1159

Mailing address

210 Airport Rd
PO Box 189
Viroqua, WI 54665-1159
Phone (608) 638-7420

Other providers in Viroqua, WI

Family & Children'S Center, Inc
Family & Children'S Center, Inc
Family & Children'S Center, Inc
Joanna Marie Fanning
William Frederick Fasching
James R Feltes, MD
Amber Lockie Ferguson, LCSW, CSAC, CS-IT
Megan Fiorella, LMFT
Kimberly B Fortney, PTA
Eileen M Fossum, COTA

All providers in Viroqua, WI · Psychiatry Physician in Wisconsin

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.