Randall Jay Casper, MD | |
1501 Thompson Street, Bloomer, WI 54724 | |
(715) 838-5222 | |
Not Available |
Full Name | Randall Jay Casper |
---|---|
Gender | Male |
Speciality | Hospitalist |
Location | 1501 Thompson Street, Bloomer, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497735682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 27176 (Wisconsin) | Secondary |
208M00000X | Hospitalist | 27176 (Wisconsin) | Primary |
Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235588831 PECOS PAC ID: 4385553627 Enrollment ID: O20161109002075 |
Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1912958026 PECOS PAC ID: 4385553627 Enrollment ID: O20171012000215 |
Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1700837812 PECOS PAC ID: 4385553627 Enrollment ID: O20171012001230 |
Mailing Address | Practice Location Address |
---|---|
Randall Jay Casper, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Randall Jay Casper, MD 1501 Thompson Street, Bloomer, WI 54724 Ph: (715) 838-5222 |
Charles E Wirtz, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1501 Thompson St, Bloomer, WI 54724 Phone: 715-838-5222 |