Nova Integrated Care Llc is a medicare enrolled primary clinic (Clinic/center) in Eagle River, Wisconsin. The current practice location for Nova Integrated Care Llc is 302 W Pine St Ste 2, Eagle River, Wisconsin. For appointments, you can reach them via phone at
(715) 891-0088. The mailing address for Nova Integrated Care Llc is 302 W Pine St Ste 2, Eagle River, Wisconsin and phone number is (715) 891-0088.
Nova Integrated Care Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1679355358. 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) 891-0088.
Primary Care Clinic Profile
| Full Name | Nova Integrated Care Llc |
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| Speciality | Clinic/Center |
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| Location | 302 W Pine St Ste 2, Eagle River, Wisconsin |
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| Authorized Official Name and Position | Jill Brunstad (OWNER/PHYSICIAN ASSISTANT) |
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| Authorized Official Contact | 7158910088 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Nova Integrated Care Llc
302 W Pine St Ste 2
Eagle River
WI 54521-9349
Ph: (715) 891-0088 | Nova Integrated Care Llc
302 W Pine St Ste 2
Eagle River
WI 54521-9349
Ph: (715) 891-0088 |
NPI Details:
| NPI Number | 1679355358 |
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| Provider Enumeration Date | 10/18/2023 |
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| Last Update Date | 10/18/2023 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 2860837291 |
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| Medicare Enrollment ID | O20240226001791 |
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Medical Identifiers
Medical identifiers for Nova Integrated Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679355358 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261Q00000X | Clinic/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.
Nova Integrated Care Llc acts as a billing entity for following providers:
| Provider Name | Adrienne D Laverdure |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1639119225
PECOS PAC ID: 1850280876
Enrollment ID: I20051025000720 |
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