Marshfield Medical Center - Rice Lake Professional Services - Medicare Primary Care in Rice Lake, WI

Marshfield Medical Center - Rice Lake Professional Services is a medicare enrolled primary clinic (Clinic/center) in Rice Lake, Wisconsin. The current practice location for Marshfield Medical Center - Rice Lake Professional Services is 1700 W Stout St, Rice Lake, Wisconsin. For appointments, you can reach them via phone at (715) 236-6133. The mailing address for Marshfield Medical Center - Rice Lake Professional Services is 1000 N Oak Ave, Marshfield, Wisconsin and phone number is (715) 389-0645.

Marshfield Medical Center - Rice Lake Professional Services is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1093201832. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (715) 236-6133.

Contact Information

Marshfield Medical Center - Rice Lake Professional Services
1700 W Stout St
Rice Lake
WI 54868-5000
(715) 236-6133
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameMarshfield Medical Center - Rice Lake Professional Services
SpecialityClinic/Center
Location1700 W Stout St, Rice Lake, Wisconsin
Authorized Official Name and PositionKathleen A Bressler (COO, AO)
Authorized Official Contact7159756018
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Marshfield Medical Center - Rice Lake Professional Services
1000 N Oak Ave
Marshfield
WI 54449-5703

Ph: (715) 389-0645
Marshfield Medical Center - Rice Lake Professional Services
1700 W Stout St
Rice Lake
WI 54868-5000

Ph: (715) 236-6133

NPI Details:

NPI Number1093201832
Provider Enumeration Date07/05/2018
Last Update Date07/30/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6103737820
Medicare Enrollment IDO20180817001484

Medical Identifiers

Medical identifiers for Marshfield Medical Center - Rice Lake Professional Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093201832NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Marshfield Medical Center - Rice Lake Professional Services acts as a billing entity for following providers:
Provider NameChristopher J Cangelosi
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1992814008
PECOS PAC ID: 8224932017
Enrollment ID: I20031124000135
Provider NameRenee A Hoynacke
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821106832
PECOS PAC ID: 5294630471
Enrollment ID: I20031201000738
Provider NameJoan M Kazda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578667655
PECOS PAC ID: 5294632436
Enrollment ID: I20031216000829
Provider NameJoseph O Mennen
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1467567925
PECOS PAC ID: 8123927779
Enrollment ID: I20040102000756
Provider NameKori K Krueger
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760582134
PECOS PAC ID: 0941109243
Enrollment ID: I20040106000423
Provider NameJames M Peters
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477663524
PECOS PAC ID: 9739089509
Enrollment ID: I20040109000582
Provider NameVirginia V Harrington
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1487635850
PECOS PAC ID: 6406754381
Enrollment ID: I20040114000294
Provider NameMary Lynn Zupanc
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1861444366
PECOS PAC ID: 6800798372
Enrollment ID: I20040123001067
Provider NameJon M Brandt
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1336168137
PECOS PAC ID: 7719880012
Enrollment ID: I20040202000367
Provider NameNyle C Neta
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1578575239
PECOS PAC ID: 8820981640
Enrollment ID: I20040205000576
Provider NameEdward P Hayes
Provider TypePractitioner - Hand Surgery
Provider IdentifiersNPI Number: 1922194976
PECOS PAC ID: 4183517568
Enrollment ID: I20040209000149
Provider NameDavid Schifeling
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1932211281
PECOS PAC ID: 9133013311
Enrollment ID: I20040210000038
Provider NameDorene Binder
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659331643
PECOS PAC ID: 5698669661
Enrollment ID: I20040211000019
Provider NameJayne L Rieper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063517464
PECOS PAC ID: 3971498353
Enrollment ID: I20040216000704
Provider NameSean R Amoli
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1295752251
PECOS PAC ID: 0446147912
Enrollment ID: I20040301000288
Provider NameRobert K Breger
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1003837816
PECOS PAC ID: 6507753118
Enrollment ID: I20040301000655
Provider NameRobert C Hardie
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1366552531
PECOS PAC ID: 1951298314
Enrollment ID: I20040301000864
Provider NameGregory E Salton
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1861502023
PECOS PAC ID: 4688561087
Enrollment ID: I20040301001108
Provider NameUma Suriyanarayanan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1841217809
PECOS PAC ID: 9638066053
Enrollment ID: I20040301001222
Provider NameDaniel C Bloomgarden
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1821019639
PECOS PAC ID: 7517854961
Enrollment ID: I20040302000091
Provider NameRandolph B Waskin
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1497780134
PECOS PAC ID: 2961390364
Enrollment ID: I20040308000878
Provider NameStephanie F Kohlhepp
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154416428
PECOS PAC ID: 5991695777
Enrollment ID: I20040316001227
Provider NameAndrew T Pankratz
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1366538530
PECOS PAC ID: 5395635023
Enrollment ID: I20040317000703
Provider NamePieter John Vanderlijn
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1437188091
PECOS PAC ID: 5698666717
Enrollment ID: I20040320000078
Provider NameJill M Viergutz
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1922195676
PECOS PAC ID: 0446142236
Enrollment ID: I20040326000589
Provider NameMark A Weber
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1134103146
PECOS PAC ID: 2860383700
Enrollment ID: I20040331001097
Provider NameJames A Meyer
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1700998069
PECOS PAC ID: 2961496161
Enrollment ID: I20040412000700
Provider NameJohn L Ziemer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366547077
PECOS PAC ID: 4183618986
Enrollment ID: I20040414000103
Provider NameDenise L Frahm
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952419236
PECOS PAC ID: 1153316732
Enrollment ID: I20040415000183
Provider NameJeffrey R Shepich
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306931670
PECOS PAC ID: 9436147915
Enrollment ID: I20040504000331
Provider NameArun Jain
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1588691489
PECOS PAC ID: 4587653027
Enrollment ID: I20040510000733
Provider NameColette Fitzpatrick
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1558378018
PECOS PAC ID: 5698678506
Enrollment ID: I20040510001424
Provider NameSteven J Gerndt
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1487667549
PECOS PAC ID: 0840102034
Enrollment ID: I20040512000994
Provider NameSusan J Frazier
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184606469
PECOS PAC ID: 9032106232
Enrollment ID: I20040518000864
Provider NameSyed M Sajjad
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1316047509
PECOS PAC ID: 0042201808
Enrollment ID: I20040520000526
Provider NameJonathan K Glazer
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1750384830
PECOS PAC ID: 1658355276
Enrollment ID: I20040614000261
Provider NameShelley R Danielson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1265418909
PECOS PAC ID: 8123003209
Enrollment ID: I20040622001403
Provider NameSomsak Tanawattanacharoen
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1851487888
PECOS PAC ID: 3476532250
Enrollment ID: I20040715000747
Provider NameNathaniel S Jalil
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1417043449
PECOS PAC ID: 3678552460
Enrollment ID: I20040715000794
Provider NameKenneth A Klein
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1891736963
PECOS PAC ID: 9335040237
Enrollment ID: I20040719000247
Provider NameStephen P Fernau
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1851343123
PECOS PAC ID: 5496725186
Enrollment ID: I20040729000801
Provider NameAdriane Gianlupi
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1326121773
PECOS PAC ID: 8820069669
Enrollment ID: I20040804000932
Provider NameJeffrey J Anderegg
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1982608352
PECOS PAC ID: 7719967264
Enrollment ID: I20040805001029
Provider NameKimberly J Kurtz
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1770568222
PECOS PAC ID: 7315934080
Enrollment ID: I20040810000028
Provider NameChristine A Block
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932209111
PECOS PAC ID: 7113999111
Enrollment ID: I20040810001124
Provider NameJeffrey M Marquardt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295840775
PECOS PAC ID: 9739090457
Enrollment ID: I20040816000067
Provider NameLisa A Mink
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275645624
PECOS PAC ID: 7315910320
Enrollment ID: I20040818000037
Provider NameSusan A Tauzell
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1578555082
PECOS PAC ID: 8022097955
Enrollment ID: I20040819000012
Provider NameRobin K Henley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710982723
PECOS PAC ID: 8325012784
Enrollment ID: I20040823000019
Provider NameTomislav T Lakic
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1629057872
PECOS PAC ID: 6901705532
Enrollment ID: I20040823001152
Provider NameStephen T Holthaus
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386756732
PECOS PAC ID: 3173599842
Enrollment ID: I20040903000196
Provider NameEric N Carlsen
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1689789166
PECOS PAC ID: 7214903392
Enrollment ID: I20040909000632
Provider NameThomas L Kintzinger
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1588779441
PECOS PAC ID: 1951377902
Enrollment ID: I20040909001265
Provider NameBalasubramanyan Napa
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1932211406
PECOS PAC ID: 8527047059
Enrollment ID: I20040914000717
Provider NameCary G Tauchman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1891800389
PECOS PAC ID: 7719954197
Enrollment ID: I20040915000028
Provider NameNicholas P Wyskoarko
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1205945177
PECOS PAC ID: 5193794766
Enrollment ID: I20040930000024
Provider NameNizar Ottoman
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1366546475
PECOS PAC ID: 2769451293
Enrollment ID: I20040930000615
Provider NameMary T Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518935717
PECOS PAC ID: 1951361567
Enrollment ID: I20041018000386
Provider NameGeorge Prackup
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1740209998
PECOS PAC ID: 1052304987
Enrollment ID: I20041022001157
Provider NameStephen J Handrich
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1265454003
PECOS PAC ID: 5496717621
Enrollment ID: I20041101000128
Provider NameSyed Muhammed Bilal Naqvi
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1598865818
PECOS PAC ID: 3577525369
Enrollment ID: I20041103000625
Provider NameMichael J Schaars
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1528097888
PECOS PAC ID: 5890758486
Enrollment ID: I20041104000931
Provider NameHariprasad S Trivedi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174574834
PECOS PAC ID: 7719941491
Enrollment ID: I20041112000528
Provider NameGregory W Petermann
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1932199940
PECOS PAC ID: 1951365014
Enrollment ID: I20041117001207
Provider NameRonald Vesely
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548209604
PECOS PAC ID: 4789648767
Enrollment ID: I20041118000816
Provider NameCraig A Wolfe
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1396845012
PECOS PAC ID: 6103883194
Enrollment ID: I20041210000759
Provider NameMohammad D Alaoua
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1487667481
PECOS PAC ID: 5092705558
Enrollment ID: I20050103000749
Provider NameJoseph J Arias
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1457463606
PECOS PAC ID: 5799733002
Enrollment ID: I20050104000245
Provider NameIrina Selezneva
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1881791077
PECOS PAC ID: 5991753212
Enrollment ID: I20050104000326
Provider NameCraig J Santolin
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1669577250
PECOS PAC ID: 1254389539
Enrollment ID: I20050104000741
Provider NameBrian H Ewert
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1306946256
PECOS PAC ID: 9537117361
Enrollment ID: I20050110000044
Provider NameJill M Nisbit
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1518973395
PECOS PAC ID: 4981686870
Enrollment ID: I20050201000318
Provider NameJulene A Diedrich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912009911
PECOS PAC ID: 2365493855
Enrollment ID: I20050202000095
Provider NameDevin B Johnson
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1154365625
PECOS PAC ID: 7719938075
Enrollment ID: I20050203000293
Provider NameDavid A Polomis
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1073649703
PECOS PAC ID: 6901857101
Enrollment ID: I20050204000441
Provider NameThomas K Eilen
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1326135088
PECOS PAC ID: 5092767608
Enrollment ID: I20050211000266
Provider NameWilliam Scott Carpenter
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1275638900
PECOS PAC ID: 8022060417
Enrollment ID: I20050214000766
Provider NameRobert A Nogler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306947395
PECOS PAC ID: 4880646769
Enrollment ID: I20050218000662
Provider NameCamilla C Larson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1710966940
PECOS PAC ID: 5991750119
Enrollment ID: I20050321000371
Provider NameAditya A Sukhwal
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104881259
PECOS PAC ID: 8527014570
Enrollment ID: I20050323000822
Provider NameRamagopal J Tumuluri
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1063489615
PECOS PAC ID: 0345297974
Enrollment ID: I20050405001094
Provider NameThomas R Silbernagel
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1922097351
PECOS PAC ID: 8426098997
Enrollment ID: I20050504000992
Provider NameDaryl L Fish
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1619077955
PECOS PAC ID: 0244274249
Enrollment ID: I20050610000317
Provider NameTimothy L Swan
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1346340668
PECOS PAC ID: 7214974146
Enrollment ID: I20050718000885
Provider NamePatricia L Gump
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1588640239
PECOS PAC ID: 9032146865
Enrollment ID: I20050722000456
Provider NameThomas L Peterson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1609820620
PECOS PAC ID: 9133193089
Enrollment ID: I20050722000571
Provider NameJohn J Olson
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1457350944
PECOS PAC ID: 4486626025
Enrollment ID: I20050802000652
Provider NameFeng Lu
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1720039571
PECOS PAC ID: 3779511308
Enrollment ID: I20050803000803
Provider NamePatcharin Tanawattanacharoen
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1942300272
PECOS PAC ID: 9436180957
Enrollment ID: I20050824001041
Provider NameMichael Todd Tennier
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1922084615
PECOS PAC ID: 5799717393
Enrollment ID: I20050902000704
Provider NameGillian Marie Battino
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1073522892
PECOS PAC ID: 0941232250
Enrollment ID: I20050908000038
Provider NameMark M Hinson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1326122201
PECOS PAC ID: 0143211136
Enrollment ID: I20050929000548
Provider NameTodd A Risa
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1982708061
PECOS PAC ID: 8820023765
Enrollment ID: I20050929000646
Provider NameThomas W Lundquist
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508976754
PECOS PAC ID: 4880629732
Enrollment ID: I20050929000691
Provider NameJohn J Warner
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1831291871
PECOS PAC ID: 4789619636
Enrollment ID: I20050929000700
Provider NameMargo B Cousins
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1477655157
PECOS PAC ID: 8820023690
Enrollment ID: I20050929000917
Provider NameKristin M Gerndt
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1013017391
PECOS PAC ID: 3173558954
Enrollment ID: I20050929001010
Provider NameAndrew H Rikkers
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1558455386
PECOS PAC ID: 9739125766
Enrollment ID: I20051001000018
Provider NameWarren W Olds
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1326146606
PECOS PAC ID: 1355369950
Enrollment ID: I20051102000636
Provider NameMelissa L Emmerich
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1093814519
PECOS PAC ID: 2860410198
Enrollment ID: I20051104000738
Provider NameJudith M Bentley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992778419
PECOS PAC ID: 8325066137
Enrollment ID: I20051109000856
Provider NameChris T Waldo
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1720066814
PECOS PAC ID: 2264451640
Enrollment ID: I20051115000465
Provider NameMichael J Michalske
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1225253040
PECOS PAC ID: 6507894623
Enrollment ID: I20051129000945
Provider NamePatrick A Wolf
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1326148081
PECOS PAC ID: 1254351356
Enrollment ID: I20051205000531
Provider NameMichael D Curtis
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1982646006
PECOS PAC ID: 1759301732
Enrollment ID: I20051206000368
Provider NameJennifer L Clements
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699885764
PECOS PAC ID: 3072535814
Enrollment ID: I20051221000513
Provider NameFoluke A Otitoju
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1144298167
PECOS PAC ID: 3375565468
Enrollment ID: I20060104000191
Provider NamePurushotham Veluvolu
Provider TypePractitioner - Nuclear Medicine
Provider IdentifiersNPI Number: 1043310766
PECOS PAC ID: 4688698772
Enrollment ID: I20060117000112
Provider NameMichelle L Henrickson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1205882990
PECOS PAC ID: 3577587690
Enrollment ID: I20060117000325
Provider NameBronwyn Dilley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407809072
PECOS PAC ID: 2860416369
Enrollment ID: I20060124000330
Provider NameDonald S Hart
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1609854900
PECOS PAC ID: 2961417191
Enrollment ID: I20060209000364
Provider NameLance Lagerstrom
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1184616625
PECOS PAC ID: 3274515192
Enrollment ID: I20060214000735
Provider NameDean A Delmastro
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1699875922
PECOS PAC ID: 5597771055
Enrollment ID: I20060221000906
Provider NameChristopher Previn Peck
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1912959313
PECOS PAC ID: 2668438482
Enrollment ID: I20060308000803
Provider NameCarlos X Condado
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1205028768
PECOS PAC ID: 2860478690
Enrollment ID: I20060313000396
Provider NameJonathan S Lowrey
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1013912997
PECOS PAC ID: 5991753477
Enrollment ID: I20060320000384
Provider NamePatricia Ann Hautamaki
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1528168267
PECOS PAC ID: 8022025899
Enrollment ID: I20060320000500
Provider NameMuhammad Muslim
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1861571218
PECOS PAC ID: 4880602150
Enrollment ID: I20060328000484
Provider NameStaffel Oates
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1033223375
PECOS PAC ID: 4385630573
Enrollment ID: I20060330000100
Provider NameGreg A Burnett
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1588776934
PECOS PAC ID: 5799795290
Enrollment ID: I20060427000765
Provider NameRobert R Kohl
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1689628901
PECOS PAC ID: 7214948561
Enrollment ID: I20060526000087
Provider NameJames E Tomic
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1134174873
PECOS PAC ID: 4183636731
Enrollment ID: I20060622000149
Provider NameLisa M Bratvold
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477584266
PECOS PAC ID: 8123098852
Enrollment ID: I20060719000298
Provider NameNancy Lynn Ontl
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922043868
PECOS PAC ID: 3173536737
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Provider NameDerek R Corporon
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1417416595
PECOS PAC ID: 4486989449
Enrollment ID: I20230821003092
Provider NameMunir H Idriss
Provider TypePractitioner - Micrographic Dermatologic Surgery (mds)
Provider IdentifiersNPI Number: 1750887444
PECOS PAC ID: 4284969759
Enrollment ID: I20230822003384
Provider NameHeather D Ebert
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1336590850
PECOS PAC ID: 8426411406
Enrollment ID: I20230823002524
Provider NameFelipe M Echeverria Gutierrez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235740838
PECOS PAC ID: 3678961299
Enrollment ID: I20230823003822
Provider NameOmar Nihad Al-masri
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1770212433
PECOS PAC ID: 1052774064
Enrollment ID: I20230823004023
Provider NameDavid A Blair
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1821214735
PECOS PAC ID: 3779527239
Enrollment ID: I20230823004355
Provider NameSierra Lynn Ystad
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1396439014
PECOS PAC ID: 4789047739
Enrollment ID: I20230824000858
Provider NameKasie Lynn Myers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053017434
PECOS PAC ID: 9234592296
Enrollment ID: I20230824001243
Provider NameSandra C Roland
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1659321545
PECOS PAC ID: 0446149868
Enrollment ID: I20230827000128
Provider NameDon Custodio
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1316152598
PECOS PAC ID: 2062585359
Enrollment ID: I20230828002128
Provider NameCarli R Gurholt
Provider TypePractitioner - Psychologist Billing Independently
Provider IdentifiersNPI Number: 1255059333
PECOS PAC ID: 4688037302
Enrollment ID: I20230829001961
Provider NameVishal Ravella
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1417574435
PECOS PAC ID: 8527421866
Enrollment ID: I20230903000011
Provider NamePooja Srivastava
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1891271599
PECOS PAC ID: 3870956113
Enrollment ID: I20230904000150
Provider NameAmanda A Jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952001893
PECOS PAC ID: 4587027719
Enrollment ID: I20230905003950
Provider NameLisa N Albanese
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1245285923
PECOS PAC ID: 2860516341
Enrollment ID: I20230906000249
Provider NameMegan M Messerschmidt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558056606
PECOS PAC ID: 4486018686
Enrollment ID: I20230906002819
Provider NameMagen Lynn Reigel
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1285319392
PECOS PAC ID: 7911361183
Enrollment ID: I20230907001152
Provider NameCynthia A De Meester
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1558476168
PECOS PAC ID: 4486656501
Enrollment ID: I20230908001217
Provider NameAlissa Lee Small
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1275192668
PECOS PAC ID: 2062876030
Enrollment ID: I20230908001536
Provider NameAbdul-ghaffaar Clark
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1053949305
PECOS PAC ID: 9830514967
Enrollment ID: I20230913003384
Provider NameHoai Pham
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1407030737
PECOS PAC ID: 1658559208
Enrollment ID: I20230913003501
Provider NameAlison Bennett
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1144977083
PECOS PAC ID: 6406227735
Enrollment ID: I20230920000727
Provider NameOmar Abdelmegid
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1760943633
PECOS PAC ID: 4688094931
Enrollment ID: I20230920002057
Provider NameJenny May E Reynolds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720789811
PECOS PAC ID: 8820442155
Enrollment ID: I20230920002974
Provider NameHarsh Singh
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1801888433
PECOS PAC ID: 3971582149
Enrollment ID: I20230922001566
Provider NameViolet Ellington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770947756
PECOS PAC ID: 4688960743
Enrollment ID: I20230922003351
Provider NameFlorence Germain
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144716648
PECOS PAC ID: 3870841695
Enrollment ID: I20230926000725
Provider NameMegan M Moore
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851999114
PECOS PAC ID: 7810341518
Enrollment ID: I20230929000111
Provider NameFrederick B Hernaez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205498227
PECOS PAC ID: 9830507516
Enrollment ID: I20231002000793
Provider NameKaitlyn Taylor Smith
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1770367666
PECOS PAC ID: 8729432331
Enrollment ID: I20231002001147
Provider NameKrista Marie Branch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902538804
PECOS PAC ID: 8325492804
Enrollment ID: I20231003000263
Provider NameKatie Marie Jelinek
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1063102911
PECOS PAC ID: 3577917053
Enrollment ID: I20231003000464
Provider NameFernando Norona
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1164488128
PECOS PAC ID: 3577747708
Enrollment ID: I20231004002528
Provider NameTaylor N Hayes
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1093304735
PECOS PAC ID: 8820443773
Enrollment ID: I20231012000757
Provider NameBenjamin J Usey
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1730249533
PECOS PAC ID: 5496798746
Enrollment ID: I20231012001601
Provider NameRobert E Love
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1952676157
PECOS PAC ID: 7113229543
Enrollment ID: I20231013001379
Provider NameElizabeth M Chacko
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1912529983
PECOS PAC ID: 6103291232
Enrollment ID: I20231017001125
Provider NameLukresse Tatiana Njiojob
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1164888004
PECOS PAC ID: 6901251503
Enrollment ID: I20231018000184
Provider NameNgassa A Mssika
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1932410461
PECOS PAC ID: 5991984189
Enrollment ID: I20231018002782
Provider NameBrianna R Dunn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801577242
PECOS PAC ID: 5496100950
Enrollment ID: I20231018002806
Provider NameSusan E Tucker
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1912266768
PECOS PAC ID: 5193022408
Enrollment ID: I20231018003080
Provider NameAriana J Frisch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629758578
PECOS PAC ID: 1951756428
Enrollment ID: I20231018003314
Provider NameJeffrey Rickard
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1124229521
PECOS PAC ID: 9032285077
Enrollment ID: I20231019001226
Provider NameMariam M Ibdaiwi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417452087
PECOS PAC ID: 2365790367
Enrollment ID: I20231020001545
Provider NameAmy C Roy
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1629274493
PECOS PAC ID: 4880744465
Enrollment ID: I20231025001801
Provider NamePaula Marie Gella
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1598950362
PECOS PAC ID: 3072969138
Enrollment ID: I20231025002015
Provider NameLeah Jean Bloechl-gruna
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669155198
PECOS PAC ID: 4688020407
Enrollment ID: I20231030002565
Provider NameMorgan Lynn Kamholz
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1275044414
PECOS PAC ID: 7719333442
Enrollment ID: I20231031003567
Provider NameKellie S Jones Monahan
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1467568345
PECOS PAC ID: 5991833691
Enrollment ID: I20231031003753
Provider NameAndrew Kenneth Wolfe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710609474
PECOS PAC ID: 5991152563
Enrollment ID: I20231103003190
Provider NameRoshini Jagdish Ramwani
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1801258348
PECOS PAC ID: 2567752876
Enrollment ID: I20231107001905
Provider NameNicole M Kraft
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1598449936
PECOS PAC ID: 9638526981
Enrollment ID: I20231108003455
Provider NameIrene Nicole Presnell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871915298
PECOS PAC ID: 5193955151
Enrollment ID: I20231111000598
Provider NameErnest L Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245015171
PECOS PAC ID: 3274981477
Enrollment ID: I20231129000713
Provider NameChristine A Daub
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1528253614
PECOS PAC ID: 4880042092
Enrollment ID: I20231129001266
Provider NameRobert H Hubers
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1861413064
PECOS PAC ID: 4284733155
Enrollment ID: I20231206000767
Provider NameSharon A Smith
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1912151044
PECOS PAC ID: 0244374783
Enrollment ID: I20231206001725
Provider NameTreve Henwood
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1548233497
PECOS PAC ID: 2860423597
Enrollment ID: I20231206002134
Provider NameFahd M Shaukat
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1649883794
PECOS PAC ID: 7618326315
Enrollment ID: I20231206002745
Provider NameAshesh H Sanghvi
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1336185685
PECOS PAC ID: 5193743102
Enrollment ID: I20231212000102
Provider NameMark J Mogul
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1336113752
PECOS PAC ID: 0042244972
Enrollment ID: I20231213002267
Provider NameLanette Rickborn
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1174985444
PECOS PAC ID: 0941590830
Enrollment ID: I20231213002419
Provider NameJunhong Pace
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003597063
PECOS PAC ID: 1951750900
Enrollment ID: I20231215001329
Provider NameDavid C Okonkwo
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1457796062
PECOS PAC ID: 2567821598
Enrollment ID: I20231221000307
Provider NameCarey R Martens
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1598880833
PECOS PAC ID: 2062503782
Enrollment ID: I20231221001765
Provider NameAlahna Jo Keil
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1104692730
PECOS PAC ID: 2961852611
Enrollment ID: I20231221001892
Provider NameKristopher C Wampole
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548856156
PECOS PAC ID: 3274983606
Enrollment ID: I20231228000718
Provider NameAnne Cahill
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1326066036
PECOS PAC ID: 5092711465
Enrollment ID: I20240104003050
Provider NameMaria T Decastro
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1558326470
PECOS PAC ID: 6305732587
Enrollment ID: I20240105002773
Provider NameTracy R Kleingartner
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1386988566
PECOS PAC ID: 6709237464
Enrollment ID: I20240105004007
Provider NameHalie Marie Ciokiewicz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104603380
PECOS PAC ID: 4082065305
Enrollment ID: I20240110003681
Provider NameHarbinder Singh
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1124061288
PECOS PAC ID: 2668482613
Enrollment ID: I20240110005027
Provider NamePatricia Sue Benoit
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1538340492
PECOS PAC ID: 3476904582
Enrollment ID: I20240112001276
Provider NameSharon L Besterfeldt
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1083949028
PECOS PAC ID: 1254783392
Enrollment ID: I20240115000381
Provider NameRebecca L Nelson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1548741259
PECOS PAC ID: 7416309315
Enrollment ID: I20240116003776
Provider NameRebeca J Argiro
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1467946871
PECOS PAC ID: 5698127371
Enrollment ID: I20240118000900
Provider NameVidallah Mulley Nordquist
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851175699
PECOS PAC ID: 6901258631
Enrollment ID: I20240118002561
Provider NameKevin Charles Tolzman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861104911
PECOS PAC ID: 9133571748
Enrollment ID: I20240119000537
Provider NameBrianne N Snider
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1881361780
PECOS PAC ID: 6002291556
Enrollment ID: I20240122001041
Provider NameAdeloye Omoyemi Soyege
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1912774365
PECOS PAC ID: 9537511852
Enrollment ID: I20240122004130
Provider NameJames A Raczek
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114945433
PECOS PAC ID: 1658329289
Enrollment ID: I20240123002805
Provider NameLisa S Dorn
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1144604216
PECOS PAC ID: 9335591528
Enrollment ID: I20240124000437
Provider NameSierra L Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902673528
PECOS PAC ID: 9537512587
Enrollment ID: I20240126000708
Provider NamePaul A Reder
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1871521567
PECOS PAC ID: 5496728958
Enrollment ID: I20240126003025
Provider NameMaria Fuertes
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1972778389
PECOS PAC ID: 8426112376
Enrollment ID: I20240130000043
Provider NamePeter R Bream
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1255428355
PECOS PAC ID: 8426187196
Enrollment ID: I20240205000743
Provider NameHeather Hilda Roen
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1457610750
PECOS PAC ID: 2860835006
Enrollment ID: I20240205003360
Provider NameChristina B Schreiner
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1285874982
PECOS PAC ID: 9032552880
Enrollment ID: I20240208001381
Provider NameJamie Christine Hanrahan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336606359
PECOS PAC ID: 6507209392
Enrollment ID: I20240208002724
Provider NameJohn W Wyllie
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1831171180
PECOS PAC ID: 3274592118
Enrollment ID: I20240214000668
Provider NameRebecca L Janssen
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1184887861
PECOS PAC ID: 9830533298
Enrollment ID: I20240214001146
Provider NameSeth F Tatel
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1144433467
PECOS PAC ID: 8426214875
Enrollment ID: I20240214001511
Provider NameDaniel G. Derezinski
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1174629927
PECOS PAC ID: 2769826056
Enrollment ID: I20240214002602
Provider NameDeborah Jean Furgason
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1255677217
PECOS PAC ID: 6406290675
Enrollment ID: I20240215001168
Provider NameRobyne D Camana
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1477874238
PECOS PAC ID: 0446498281
Enrollment ID: I20240215003738
Provider NameBethany F Peri
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1114137015
PECOS PAC ID: 6800074147
Enrollment ID: I20240216001763
Provider NameAmanda Rae Butterfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558149922
PECOS PAC ID: 2264876283
Enrollment ID: I20240219000835
Provider NameLinda B Kedrowski
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1710356548
PECOS PAC ID: 4082058862
Enrollment ID: I20240220003455
Provider NameVanessa M Larose
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1730561333
PECOS PAC ID: 3779927413
Enrollment ID: I20240221001089
Provider NameLuis Dibos
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1679577639
PECOS PAC ID: 7618032269
Enrollment ID: I20240221002614
Provider NameAngela M Okon
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1962821082
PECOS PAC ID: 9436594504
Enrollment ID: I20240228002301
Provider NameTierney D Woodward
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326803982
PECOS PAC ID: 3173968799
Enrollment ID: I20240305001267
Provider NameOmid Hajiseyed Javadi
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1720032808
PECOS PAC ID: 6507878378
Enrollment ID: I20240318003190
Provider NameAmanda R Stenberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326819814
PECOS PAC ID: 9133566490
Enrollment ID: I20240321002854
Provider NameKelly J Koson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1629168687
PECOS PAC ID: 0345338125
Enrollment ID: I20240322003032
Provider NameKristina Kochanova
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1912483074
PECOS PAC ID: 6002253234
Enrollment ID: I20240325000995
Provider NameJenna Jo Brehm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124808761
PECOS PAC ID: 3577900604
Enrollment ID: I20240325001339
Provider NameAshley J Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730940404
PECOS PAC ID: 6709223779
Enrollment ID: I20240326002748
Provider NameMary R Chavez
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1649665738
PECOS PAC ID: 0244533289
Enrollment ID: I20240327001229
Provider NameMohammad Lababidi
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1447712799
PECOS PAC ID: 8729317458
Enrollment ID: I20240327001248
Provider NameTimothy N Gorski
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1780726299
PECOS PAC ID: 1355665688
Enrollment ID: I20240327002333
Provider NameWilliam Lavigne
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1083891311
PECOS PAC ID: 4385727643
Enrollment ID: I20240328000489
Provider NameAbigail L Paspalofski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033560750
PECOS PAC ID: 9537507694
Enrollment ID: I20240409001625
Provider NameJenna Renee Goodwin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083476592
PECOS PAC ID: 6608214796
Enrollment ID: I20240409002736
Provider NameFrank D Macdonald
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255602918
PECOS PAC ID: 5294959540
Enrollment ID: I20240409003761
Provider NameKeri A Otte
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1598339178
PECOS PAC ID: 4688013063
Enrollment ID: I20240418000435
Provider NameSamantha L Willms
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1740032051
PECOS PAC ID: 7416396486
Enrollment ID: I20240424000019
Provider NameJodi K Mechelke
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1083309801
PECOS PAC ID: 0941640551
Enrollment ID: I20240430002236
Provider NameJamila C Watkins
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1366762395
PECOS PAC ID: 3779706114
Enrollment ID: I20240501001797
Provider NameYiting Yang
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1508122318
PECOS PAC ID: 7315166626
Enrollment ID: I20240508001120
Provider NameStephen Kwan
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1518052356
PECOS PAC ID: 4385614346
Enrollment ID: I20240509000480
Provider NameMarla M Jordon-perkins
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1386813293
PECOS PAC ID: 3870662042
Enrollment ID: I20240515002911
Provider NameElliot A Hwang
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477181832
PECOS PAC ID: 7810356664
Enrollment ID: I20240604001806
Provider NameMauro C Janoski
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1154386290
PECOS PAC ID: 7416929708
Enrollment ID: I20240605002119
Provider NameFerenc Gyulai
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1053389783
PECOS PAC ID: 1951596485
Enrollment ID: I20240606003298
Provider NameKimberly A Johnson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386252823
PECOS PAC ID: 3870913130
Enrollment ID: I20240610003829
Provider NameChristopher H Wyatt
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1861613077
PECOS PAC ID: 4880721695
Enrollment ID: I20240612003830

Reviews and Comments


Clinic/Center in Rice Lake, WI

Lakeland Clinic Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 610 West Ave Ste C, Rice Lake, WI 54868
Phone: 715-202-6727    
Marshfield Clinic Pharmacy
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1700 W Stout St, Rice Lake, WI 54868
Phone: 715-236-8103    
Swanson Eye Care Inc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 2900 S Wisconsin Ave, Rice Lake, WI 54868
Phone: 608-341-9636    
Clear Path Clinic Sc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 26 Phipps Ave, Rice Lake, WI 54868
Phone: 705-434-1058    Fax: 715-434-1068
Jacobson Optometry Ltd
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1801 W Knapp St Ste 3, Rice Lake, WI 54868
Phone: 715-234-3113    Fax: 715-234-2339
Piic Clinical Services
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2700 S Wisconsin Ave, Rice Lake, WI 54868
Phone: 715-403-5880    

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.