Dr Daniel Lee Icenogle, MD - Medicare Family Medicine in Viroqua, WI

  1. Home
  2. Family Medicine
  3. WI
  4. Viroqua
Dr Daniel Lee Icenogle, MD is a medicare enrolled "Family Medicine" physician in Viroqua, Wisconsin. His current practice location is 507 S Main St, Viroqua, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 637-4260.

Dr Daniel Lee Icenogle is licensed to practice in Wisconsin (license number 29039) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1598714016.

Contact Information

Dr Daniel Lee Icenogle, MD
507 S Main St,
Viroqua, WI 54665-2059
(608) 637-4260
(608) 637-7492

Map and Direction




Physician's Profile

Full NameDr Daniel Lee Icenogle
GenderMale
SpecialityFamily Medicine
Location507 S Main St, Viroqua, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598714016
  • Provider Enumeration Date: 05/10/2006
  • Last Update Date: 02/18/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2264409648
  • Enrollment ID: I20040915000034

Medical Identifiers

Medical identifiers for Dr Daniel Lee Icenogle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598714016NPI-NPPES
3136880MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 29039 (Wisconsin)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Daniel Lee Icenogle allows following entities to bill medicare on his behalf.
Entity NameDivine Savior Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124083894
PECOS PAC ID: 5799684007
Enrollment ID: O20040225000909
Entity NamePrairie Du Chien Memorial Hospital Association, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619024197
PECOS PAC ID: 4981698537
Enrollment ID: O20040414001308
Entity NameWaupun Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1548248644
PECOS PAC ID: 7618886565
Enrollment ID: O20070523000593
Entity NameSpooner Health System Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1518982628
PECOS PAC ID: 2062310287
Enrollment ID: O20070524000677

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. Dr Daniel Lee Icenogle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Daniel Lee Icenogle, MD
S7563 Riley Rd,
Readstown, WI 54652-8030

Ph: (608) 637-4260		Dr Daniel Lee Icenogle, MD
507 S Main St,
Viroqua, WI 54665-2059

Ph: (608) 637-4260

Reviews and Comments


Family Medicine Doctors in Viroqua, WI

Michael Loebertman,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 507 S Main St, Viroqua, WI 54665
Phone: 608-637-4202    
Brian R Woody, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 407 S Main St, Viroqua, WI 54665
Phone: 608-637-4750    Fax: 608-637-3120
David E Chakoian, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 407 South Main St, Suite 400, Viroqua, WI 54665
Phone: 608-637-4230    Fax: 608-637-4214
Dr. Elizabeth A Roberts, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 407 S Main St, Viroqua, WI 54665
Phone: 608-637-4750    Fax: 608-637-3120
Paul E Bergquist, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 407 S Main St, Suite 400, Viroqua, WI 54665
Phone: 608-637-4230    Fax: 608-637-4214
Robert J Smith, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 507 S Main St, Viroqua, WI 54665
Phone: 608-637-2101    
Bonnie L Davidson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 407 S Main St Ste 400, Viroqua, WI 54665
Phone: 608-637-3174    Fax: 608-638-5038

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.