Mary C Phung, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Beaver Dam, WI

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Mary C Phung, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Beaver Dam, Wisconsin. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Beaver Dam Community Hospitals Inc. and her current practice location is 707 S University Ave, Beaver Dam, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 887-7181.

Mary C Phung is licensed to practice in Wisconsin (license number 5896) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265841589.

Contact Information

Mary C Phung, CRNA
707 S University Ave,
Beaver Dam, WI 53916-3027
(920) 887-7181
Not Available

Map and Direction




Provider's Profile

Full NameMary C Phung
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience10 Years
Location707 S University Ave, Beaver Dam, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary C Phung graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1265841589
  • Provider Enumeration Date: 08/12/2014
  • Last Update Date: 03/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8224257993
  • Enrollment ID: I20140910002123

Medical Identifiers

Medical identifiers for Mary C Phung such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265841589NPI-NPPES
1265841589MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 5896 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beaver Dam Community Hospital Dba Marshfield Medical Center - Beaver DamBeaver dam, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Beaver Dam Community Hospitals Inc.256737053956

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. Mary C Phung allows following entities to bill medicare on her behalf.
Entity NameMarshfield Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590
Entity NameBeaver Dam Community Hospitals Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972188555
PECOS PAC ID: 2567370539
Enrollment ID: O20040210000666
Entity NameMemorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346239373
PECOS PAC ID: 2365433224
Enrollment ID: O20040519001426
Entity NameAssociation Of Hospital Anesthesiologists Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720076474
PECOS PAC ID: 3476539875
Enrollment ID: O20050719001050
Entity NameFlambeau Hospital, Inc.
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1700963048
PECOS PAC ID: 9032029871
Enrollment ID: O20070828000478
Entity NameMemorial Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1346239373
PECOS PAC ID: 2365433224
Enrollment ID: O20110526000807
Entity NameMchs Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093221434
PECOS PAC ID: 5698071173
Enrollment ID: O20180208000096
Entity NameLakeview Medical Center Inc Of Rice Lake
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093201832
PECOS PAC ID: 6103737820
Enrollment ID: O20180817001484
Entity NameMchs Hospitals Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1952890873
PECOS PAC ID: 5698071173
Enrollment ID: O20180904002962
Entity NameFlambeau Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194317966
PECOS PAC ID: 9032029871
Enrollment ID: O20210409000059

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. Mary C Phung 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 AddressPractice Location Address
Mary C Phung, CRNA
707 S University Ave,
Beaver Dam, WI 53916-3027

Ph: (920) 887-7181		Mary C Phung, CRNA
707 S University Ave,
Beaver Dam, WI 53916-3027

Ph: (920) 887-7181

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Beaver Dam, WI

Branden L Enright, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 707 S University Ave, Beaver Dam, WI 53916
Phone: 920-887-5975    
Carol Christie, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 707 S University, Beaver Dam, WI 53916
Phone: 920-887-7181    Fax: 920-887-3422
Linda G Miller, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 707 S University, Beaver Dam, WI 53916
Phone: 920-887-7181    Fax: 920-887-3422

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.