Courtney L Bork, MD in Rice Lake, WI - Medicare Family Practice

Courtney L Bork, MD is a medicare enrolled "Family Medicine" physician in Rice Lake, Wisconsin. She went to University Of Wisconsin School Of Medicine and graduated in 2021 and has 4 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Eastern Iowa Health Center and her current practice location is 1700 W Stout St, Rice Lake, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 236-8100.

Courtney L Bork is licensed to practice in Iowa (license number MD-52909) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255912937.

Contact Information

	Courtney L Bork, MD
	1700 W Stout St, Rice Lake, WI 54868-5000
	(715) 236-8100
	Not Available

Map and Direction

Physician's Profile

Full Name	Courtney L Bork
Gender	Female
Speciality	Family Practice
Experience	4 Years
Location	1700 W Stout St, Rice Lake, 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.

Medical Education and Training:

Courtney L Bork attended and graduated from University Of Wisconsin School Of Medicine in 2021

NPI Data:

NPI Number: 1255912937
Provider Enumeration Date: 04/15/2021
Last Update Date: 09/17/2025

Medicare PECOS Information:

PECOS PAC ID: 3072917632
Enrollment ID: I20240807004552

Medical Identifiers

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

Identifier	Type	State	Issuer
1255912937	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	81162 (Wisconsin)	Secondary
207Q00000X	Family Medicine	MD-52909 (Iowa)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Lukes Hospital	Cedar rapids, IA	Hospital
Mercy Medical Center - Cedar Rapids	Cedar rapids, IA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eastern Iowa Health Center	0648364828	14

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Courtney L Bork allows following entities to bill medicare on her behalf.

Entity Name	Eastern Iowa Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578753703 PECOS PAC ID: 0648364828 Enrollment ID: O20071009000505

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Courtney L Bork is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Courtney L Bork, MD 1700 W Stout St, Rice Lake, WI 54868-5000 Ph: (715) 236-8100	Courtney L Bork, MD 1700 W Stout St, Rice Lake, WI 54868-5000 Ph: (715) 236-8100

Reviews and Comments

Family Medicine Doctors in Rice Lake, WI

William A Smith, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100
Janice M Mcclelland, Family Medicine Medicare: Medicare Enrolled Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100
David J Henningsen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100
Dr. Susan J Frazier, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100
Beverly A. Kimball, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100
Lisa A Mink, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100

Courtney L Bork, MD - Medicare Family Practice in Rice Lake, WI