Mercy Walworth Hospital And Medical Center is a medicare enrolled "General Acute Care Hospital - Critical Access" provider in Lake Geneva, Wisconsin. Their current practice location is
N2950 State Road 67, Lake Geneva, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(262) 245-0535.
Mercy Walworth Hospital And Medical Center is licensed to practice in Wisconsin (license number 1062) and it also participates in the medicare program. Mercy Walworth Hospital And Medical Center
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1699728550.
Healthcare Provider's Profile
| Full Name | Mercy Walworth Hospital And Medical Center |
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| Type | Facility |
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| Speciality | General Acute Care Hospital - Critical Access |
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| Location | N2950 State Road 67, Lake Geneva, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1699728550
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 07/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 7416860440
- Enrollment ID: O20210611000108
Medical Identifiers
Medical identifiers for Mercy Walworth Hospital And Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699728550 | NPI | - | NPPES |
| 11024910 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 310-800 (Wisconsin) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | 3108-800 (Wisconsin) | Secondary |
| 282NC0060X | General Acute Care Hospital - Critical Access | 1062 (Wisconsin) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 310800 (Wisconsin) | Secondary |
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. Mercy Walworth Hospital And Medical Center 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 |
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Mercy Walworth Hospital And Medical Center
1000 Mineral Point Ave,
Janesville, WI 53548-2940
Ph: (608) 756-6000 | Mercy Walworth Hospital And Medical Center
N2950 State Road 67,
Lake Geneva, WI 53147-2655
Ph: (262) 245-0535 |
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