Larry R Brunzlick, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Medford, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Integritas Emergency Physician Services Llc and his current practice location is
135 South Gibson Street, Medford, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 748-8100.
Larry R Brunzlick is licensed to practice in Wisconsin (license number 24477) 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 1770646721.
Physician's Profile
Full Name | Larry R Brunzlick |
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Gender | Male |
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Speciality | Emergency Medicine |
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Experience | 43 Years |
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Location | 135 South Gibson Street, Medford, Wisconsin |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Larry R Brunzlick attended and graduated from University Of Wisconsin School Of Medicine in 1981
NPI Data:
- NPI Number: 1770646721
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 05/15/2012
Medicare PECOS Information:
- PECOS PAC ID: 4385832344
- Enrollment ID: I20240321002741
Medical Identifiers
Medical identifiers for Larry R Brunzlick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770646721 | NPI | - | NPPES |
30461100 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PE0004X | Emergency Medicine - Emergency Medical Services | 24477 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Integritas Emergency Physician Services Llc | 7113167446 | 18 |
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. Larry R Brunzlick allows following entities to bill medicare on his behalf.
Entity Name | Integritas Emergency Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760 |
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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. Larry R Brunzlick 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 Address | Practice Location Address |
Larry R Brunzlick, MD 135 South Gibson Street, Medford, WI 54451 Ph: (715) 748-8100 | Larry R Brunzlick, MD 135 South Gibson Street, Medford, WI 54451 Ph: (715) 748-8100 |
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