C Harold Mork, MD - Internal Medicine in Winnebago, WI

C Harold Mork, MD is a Internal Medicine physician based in Winnebago, Wisconsin. C Harold Mork is licensed to practice in Wisconsin (license number 23667) and his current practice location is 1300 South Dr., Winnebago, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (920) 235-4910.

NPI number for C Harold Mork is 1134289986 and his current mailing address is 1300 South Dr., Winnebago, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134289986.

Contact Information

C Harold Mork, MD
1300 South Dr.,
Winnebago, WI 54985-0009
(920) 235-4910
(920) 236-2931

Map and Direction




Physician's Profile

Full NameC Harold Mork
GenderMale
SpecialityInternal Medicine
Location1300 South Dr., Winnebago, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134289986
  • Provider Enumeration Date: 12/11/2006
  • Last Update Date: 03/07/2023

Medical Identifiers

Medical identifiers for C Harold Mork such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134289986NPI-NPPES
30381600MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 23667 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. C Harold Mork is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
C Harold Mork, MD
1300 South Dr.,
Winnebago, WI 54985-0009

Ph: (920) 235-4910
C Harold Mork, MD
1300 South Dr.,
Winnebago, WI 54985-0009

Ph: (920) 235-4910

Reviews and Comments


Internal Medicine Doctors in Winnebago, WI

Alejandro A Eisma, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1300 South Drive, Winnebago Mental Health Institute, Winnebago, WI 54985
Phone: 920-235-4910    Fax: 920-236-2931
Dr. James L Basiliere, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1300 South Dr., Winnebago Mental Health Institute, Winnebago, WI 54985
Phone: 920-235-4910    Fax: 920-236-2931
Dr. Nikolo C Quinones, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1300 South Drive, Winnebago, WI 54985
Phone: 920-235-4910    Fax: 920-237-2043

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.