<unavail> in Black River Falls, WI - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Black River Falls, Wisconsin. The current practice location for is 711 W Adams St, Black River Falls, Wisconsin. For appointments, you can reach them via phone at (715) 284-5361. The mailing address for is 711 W Adams St, Black River Falls, Wisconsin and phone number is (715) 284-5361.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1255183182. 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) 284-5361.

Contact Information


	711 W Adams St Black River Falls WI 54615-5052
	(715) 284-5361
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	711 W Adams St, Black River Falls, Wisconsin
Authorized Official Name and Position	Holly M Winn (CHIEF FINANCE OPERATING OFFICER)
Authorized Official Contact	7152841354
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
711 W Adams St Black River Falls WI 54615-5052 Ph: (715) 284-5361	711 W Adams St Black River Falls WI 54615-5052 Ph: (715) 284-5361

NPI Details:

NPI Number	1255183182
Provider Enumeration Date	04/03/2024
Last Update Date	11/15/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	3173431178
Medicare Enrollment ID	O20240613001141

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255183182	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QR1300X	Clinic/center - Rural Health	(* (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. acts as a billing entity for following providers:

Provider Name	Kurt R Oettel
Provider Type	Practitioner - Medical Oncology
Provider Identifiers	NPI Number: 1770585051 PECOS PAC ID: 2860393121 Enrollment ID: I20040119000664

Reviews and Comments

Clinic/Center in Black River Falls, WI

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- Medicare Primary Care in Black River Falls, WI