Wallace B Brucker, MD | |
321 Butts Ave, Tomah, WI 54660-1412 | |
(608) 374-0303 | |
Not Available |
Full Name | Wallace B Brucker |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 34 Years |
Location | 321 Butts Ave, Tomah, 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 |
---|---|---|---|
1831285881 | NPI | - | NPPES |
34706400 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 48603 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tomah Memorial Hospital | Tomah, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tomah Memorial Hospital Inc | 6901897016 | 51 |
Entity Name | Mile Bluff Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609912005 PECOS PAC ID: 8527971399 Enrollment ID: O20031205000618 |
Entity Name | Reedsburg Area Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891796710 PECOS PAC ID: 9830008259 Enrollment ID: O20031208000083 |
Entity Name | Tomah Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992970453 PECOS PAC ID: 6901897016 Enrollment ID: O20040519000123 |
Mailing Address | Practice Location Address |
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Wallace B Brucker, MD 321 Butts Ave, Tomah, WI 54660-1412 Ph: () - | Wallace B Brucker, MD 321 Butts Ave, Tomah, WI 54660-1412 Ph: (608) 374-0303 |
Richard William Banks, D.O. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 501 Gopher Dr, Tomah, WI 54660 Phone: 843-338-2895 | |
Dr. Paul Liebert, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 321 Butts Ave, Tomah, WI 54660 Phone: 608-372-2181 | |
Aaron M.k. Butler, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1330 N Superior Ave, Tomah, WI 54660 Phone: 608-372-4111 |