Sokaogon Chippewa Community - Medicare Primary Care in Crandon, WI

Sokaogon Chippewa Community is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Crandon, Wisconsin. The current practice location for Sokaogon Chippewa Community is 3144 Vanzile Rd, Crandon, Wisconsin. For appointments, you can reach them via phone at (715) 478-5180. The mailing address for Sokaogon Chippewa Community is 3144 Vanzile Rd, Crandon, Wisconsin and phone number is (715) 478-5180.

Sokaogon Chippewa Community is licensed to practice in Wisconsin (license number 32957000). The clinic also participates in the medicare program and its NPI number is 1033115456. 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) 478-5180.

Contact Information

Sokaogon Chippewa Community
3144 Vanzile Rd
Crandon
WI 54520-8149
(715) 478-5180
(715) 478-5904

Map and Direction


Primary Care Clinic Profile

Full NameSokaogon Chippewa Community
SpecialityClinic/Center
Location3144 Vanzile Rd, Crandon, Wisconsin
Authorized Official Name and PositionLeah Newton (BILLING MANAGER)
Authorized Official Contact7156220293
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sokaogon Chippewa Community
3144 Vanzile Rd
Crandon
WI 54520-8149

Ph: (715) 478-5180
Sokaogon Chippewa Community
3144 Vanzile Rd
Crandon
WI 54520-8149

Ph: (715) 478-5180

NPI Details:

NPI Number1033115456
Provider Enumeration Date06/21/2005
Last Update Date09/01/2022

Medicare PECOS Information:

Medicare PECOS PAC ID1759370869
Medicare Enrollment IDO20040512000238

Medical Identifiers

Medical identifiers for Sokaogon Chippewa Community such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033115456NPI-NPPES
32957000MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) 32957000 (Wisconsin)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sokaogon Chippewa Community acts as a billing entity for following providers:
Provider NameShannon S Meyer
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1316933542
PECOS PAC ID: 4486550613
Enrollment ID: I20031209000837
Provider NameGary M Pusateri
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1851383525
PECOS PAC ID: 2668408071
Enrollment ID: I20050715000938
Provider NameEunice Corujo Incha
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1255371837
PECOS PAC ID: 9931125994
Enrollment ID: I20051019000215
Provider NameSylvia J Dennison
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1700838836
PECOS PAC ID: 6709897937
Enrollment ID: I20060531000211
Provider NameAllen Craig Orth
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1073548517
PECOS PAC ID: 3870597545
Enrollment ID: I20060912000158
Provider NameSuzette L Katchko
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073773677
PECOS PAC ID: 4880758721
Enrollment ID: I20090121000668
Provider NameStephanie Coons
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1467733576
PECOS PAC ID: 0042460313
Enrollment ID: I20121022000728
Provider NameBobbi Jo K Bissonette
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366874489
PECOS PAC ID: 1355575184
Enrollment ID: I20131010001708
Provider NameSteven Craig Miszkiewicz
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1548257249
PECOS PAC ID: 1456343128
Enrollment ID: I20170215001536
Provider NameMelinda Roth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154757045
PECOS PAC ID: 5698900231
Enrollment ID: I20170920002093
Provider NameAbigail B Ashbeck
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1437827441
PECOS PAC ID: 4789048943
Enrollment ID: I20230907000493
Provider NameLynette M Mccorkle
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1609115682
PECOS PAC ID: 7416305727
Enrollment ID: I20240228002465

Reviews and Comments


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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.