| Bonnie M Samuelson, MD | |
|
8201 Mish Ko Swen Dr, Crandon, WI 54520-8631 | |
| (715) 478-4300 | |
| Not Available |
| Full Name | Bonnie M Samuelson |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 32 Years |
| Location | 8201 Mish Ko Swen Dr, Crandon, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962432658 | NPI | - | NPPES |
| 34087600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 43356 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 43356 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Forest County Potawatomi Community | 3375454689 | 16 |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Forest County Potawatomi Community |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285741306 PECOS PAC ID: 3375454689 Enrollment ID: O20040228000204 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie M Samuelson, MD 3000 Westhill Dr, Suite 303, Wausau, WI 54401-3795 Ph: () - | Bonnie M Samuelson, MD 8201 Mish Ko Swen Dr, Crandon, WI 54520-8631 Ph: (715) 478-4300 |
Dr. Susan Elisabeth Moore, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 W Glen St, Crandon, WI 54520 Phone: 715-478-3318 Fax: 715-478-3255 | |
Dr. Richard Arthur Brandner, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3144 Vanzile Rd, Crandon, WI 54520 Phone: 715-478-5180 | |
Frank Mraz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5409 Everybody's Road, Crandon, WI 54520 Phone: 715-478-4328 Fax: 715-478-4496 | |
Mrs. Karen A Beimborn, MEDICINE SURGERY MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5409 Everybodys Road, Forest County Potawatomi Health & Wellness Center, Crandon, WI 54520 Phone: 715-478-4300 Fax: 715-478-4490 |