Mark W De Clute, MD in Wausau, WI

Mark W De Clute, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Wausau, Wisconsin. His current practice location is 2727 Plaza Drive, Wausau, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 847-3000.

Mark W De Clute is licensed to practice in Wisconsin (license number 36415) 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 1417057142.

Contact Information

	Mark W De Clute, MD
	2727 Plaza Drive, Wausau, WI 54401
	(715) 847-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark W De Clute
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	2727 Plaza Drive, Wausau, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417057142
Provider Enumeration Date: 09/23/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4486689338
Enrollment ID: I20050929000728

Medical Identifiers

Medical identifiers for Mark W De Clute such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417057142	NPI	-	NPPES
32110100	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	36415 (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. Mark W De Clute allows following entities to bill medicare on his behalf.

Entity Name	Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20040519001426

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. Mark W De Clute 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
Mark W De Clute, MD 1000 N Oak Ave, Marshfield, WI 54449-5777 Ph: () -	Mark W De Clute, MD 2727 Plaza Drive, Wausau, WI 54401 Ph: (715) 847-3000

Reviews and Comments

Radiology Doctors in Wausau, WI

Dr. Derrick Robson Siebert, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 333 Pine Ridge Blvd, Wausau, WI 54401 Phone: 715-847-2283
Dr. Philip Richard Albert, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2705 Rib Mountain Way, Wausau, WI 54401 Phone: 715-302-0130 Fax: 715-842-4058
Sarah S Nielsen, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2727 Plaza Dr, Wausau, WI 54401 Phone: 715-847-3000
James S Collison, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3200 Westhill Dr, Suite 210, Wausau, WI 54401 Phone: 715-847-2020 Fax: 715-847-0020
Craig A Hackworth, MD Radiology Medicare: Medicare Enrolled Practice Location: 3200 Westhill Dr, Suite 210, Wausau, WI 54401 Phone: 715-847-2020 Fax: 715-847-0020
Vinay D Luthra, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3200 Westhill Dr Ste 210, Wausau, WI 54401 Phone: 715-847-2020 Fax: 715-847-0020
Donald M Nowinski Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3200 Westhill Dr, Suite 210, Wausau, WI 54401 Phone: 715-847-2020 Fax: 715-847-0020

Mark W De Clute, MD - Medicare Radiology in Wausau, WI