| Aspirus Spine & Neurosciences Institute | |
|
3200 Westhill Dr #102 Wausau WI 54401-4705 | |
| (715) 847-2019 | |
| (715) 847-2668 |
| Full Name | Aspirus Spine & Neurosciences Institute |
|---|---|
| Speciality | Clinic/Center |
| Location | 3200 Westhill Dr, Wausau, Wisconsin |
| Authorized Official Name and Position | Jerry M Yang (SVP & CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7158472526 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspirus Spine & Neurosciences Institute 29980 Network Pl Chicago IL 60673-1299 Ph: (715) 847-2304 | Aspirus Spine & Neurosciences Institute 3200 Westhill Dr #102 Wausau WI 54401-4705 Ph: (715) 847-2019 |
| NPI Number | 1568765550 |
|---|---|
| Provider Enumeration Date | 12/13/2010 |
| Last Update Date | 06/14/2024 |
| Certification Date | 06/14/2024 |
| Medicare PECOS PAC ID | 1052223625 |
|---|---|
| Medicare Enrollment ID | O20110914000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568765550 | NPI | - | NPPES |
| 1568765550 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Michael E Zevitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871543843 PECOS PAC ID: 4183602451 Enrollment ID: I20040713000030 |
| Provider Name | German Larrain |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1508845090 PECOS PAC ID: 9638129588 Enrollment ID: I20090107000505 |
| Provider Name | David K Murdock |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942200910 PECOS PAC ID: 5991603276 Enrollment ID: I20090114000376 |
| Provider Name | Mark T Hoffmann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356342034 PECOS PAC ID: 8527966803 Enrollment ID: I20090114000396 |
| Provider Name | Joshua L Luce |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780600668 PECOS PAC ID: 8022063346 Enrollment ID: I20091019000172 |
| Provider Name | Timothy N Logemann |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1184626053 PECOS PAC ID: 2163320441 Enrollment ID: I20100306000043 |
| Provider Name | Timothy P Grady |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386644409 PECOS PAC ID: 1355249632 Enrollment ID: I20100306000080 |
| Provider Name | Paul A Luetmer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1689675332 PECOS PAC ID: 9133027410 Enrollment ID: I20100306000107 |
| Provider Name | John M Frangiskakis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871753632 PECOS PAC ID: 8123195609 Enrollment ID: I20150317000708 |
| Provider Name | Andrew Mykytsey |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1750547378 PECOS PAC ID: 0648465310 Enrollment ID: I20161219000345 |
| Provider Name | Andrew Beaumont |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1871688135 PECOS PAC ID: 6305910134 Enrollment ID: I20180806002647 |
| Provider Name | Meghan M R Walls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437699717 PECOS PAC ID: 5496005621 Enrollment ID: I20191105000558 |
| Provider Name | Marcus Sublette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265851000 PECOS PAC ID: 5597067983 Enrollment ID: I20211001000477 |
| Provider Name | Bryan Austin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316997943 PECOS PAC ID: 3678511326 Enrollment ID: I20220321001718 |
| Provider Name | Kelly Rasmussen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023328226 PECOS PAC ID: 4789871666 Enrollment ID: I20220616002313 |
| Provider Name | Daniel J Krause |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457768327 PECOS PAC ID: 8224419304 Enrollment ID: I20220720003361 |
| Provider Name | Karen Lynn Macdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013652080 PECOS PAC ID: 5890177695 Enrollment ID: I20220726002168 |
| Provider Name | Chikako Ono |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699903526 PECOS PAC ID: 9335389188 Enrollment ID: I20221102000475 |
Associated Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 614 N 3rd Ave, Suite A, Wausau, WI 54401 Phone: 715-848-3031 Fax: 715-848-5008 | |
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