Mr Gary M Pusateri, MD is a medicare enrolled "General Practice" physician in Crandon, Wisconsin. His current practice location is
3144 Vanzile Rd, Crandon, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 478-5180.
Mr Gary M Pusateri is licensed to practice in Wisconsin (license number 29938-020) 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 1851383525.
Physician's Profile
Full Name | Mr Gary M Pusateri |
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Gender | Male |
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Speciality | General Practice |
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Location | 3144 Vanzile Rd, Crandon, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851383525
- Provider Enumeration Date: 08/18/2005
- Last Update Date: 05/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 2668408071
- Enrollment ID: I20050715000938
Medical Identifiers
Medical identifiers for Mr Gary M Pusateri such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851383525 | NPI | - | NPPES |
31543400 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 29938-020 (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. Mr Gary M Pusateri allows following entities to bill medicare on his behalf.
Entity Name | Sokaogon Chippewa Community |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033115456 PECOS PAC ID: 1759370869 Enrollment ID: O20040512000238 |
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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. Mr Gary M Pusateri 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 |
Mr Gary M Pusateri, MD E23570 Pow Wow Trail, Watersmeet, MI 49969 Ph: (906) 358-4588 | Mr Gary M Pusateri, MD 3144 Vanzile Rd, Crandon, WI 54520-8149 Ph: (715) 478-5180 |
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