Mark C Wickre, MD | |
1836 South Ave, La Crosse, WI 54601-5429 | |
(608) 782-7300 | |
Not Available |
Full Name | Mark C Wickre |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 10 Years |
Location | 1836 South Ave, La Crosse, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063830628 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 61383 (Minnesota) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 73555 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gundersen Lutheran Medical Center | La crosse, WI | Hospital |
Gundersen Tri-county Hospital & Clinics | Whitehall, WI | Hospital |
St Elizabeth Medical Center | Wabasha, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gundersen Lutheran Medical Center Inc | 2163331414 | 789 |
Saint Elizabeths Hospital Of Wabasha Inc | 5092619387 | 78 |
Gundersen Lutheran Medical Center Inc | 2163331414 | 789 |
Tri-county Memorial Hospital Inc | 4587642418 | 55 |
Saint Elizabeths Hospital Of Wabasha Inc | 5092619387 | 78 |
Entity Name | Gundersen Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031113000579 |
Entity Name | Saint Elizabeths Hospital Of Wabasha Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659355600 PECOS PAC ID: 5092619387 Enrollment ID: O20031119000811 |
Entity Name | Gundersen Lutheran Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130807000951 |
Mailing Address | Practice Location Address |
---|---|
Mark C Wickre, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Mark C Wickre, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
Cameron F Roberts, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Brian R Manske, MD Radiology Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Dr. Heather Jo Wichman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1900 South Ave, La Crosse, WI 54601 Phone: 608-775-6569 | |
Robert E Wax, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Douglas G Gold, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Dr. Ezana M Azene, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |