Dr Ezana M Azene, MD, PHD - Medicare Diagnostic Radiology in La Crosse, WI

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Dr Ezana M Azene, MD, PHD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in La Crosse, Wisconsin. He went to Johns Hopkins University School Of Medicine and graduated in 2007 and has 18 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Gundersen Lutheran Medical Center Inc, Gundersen Lutheran Medical Center Inc and his current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 782-7300.

Dr Ezana M Azene is licensed to practice in Wisconsin (license number 60390) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073715975.

Contact Information

Dr Ezana M Azene, MD, PHD
1836 South Ave,
La Crosse, WI 54601-5429
(608) 782-7300
Not Available

Map and Direction




Physician's Profile

Full NameDr Ezana M Azene
GenderMale
SpecialityDiagnostic Radiology
Experience18 Years
Location1836 South Ave, La Crosse, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ezana M Azene attended and graduated from Johns Hopkins University School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1073715975
  • Provider Enumeration Date: 06/03/2007
  • Last Update Date: 11/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3476708322
  • Enrollment ID: I20130823001105

Medical Identifiers

Medical identifiers for Dr Ezana M Azene such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073715975NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0204XRadiology - Vascular & Interventional Radiology 60390 (Wisconsin)Primary
2085R0204XRadiology - Vascular & Interventional Radiology 41211 (Iowa)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 56800 (Minnesota)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Gundersen Lutheran Medical CenterLa crosse, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gundersen Lutheran Medical Center Inc2163331414793
Gundersen Lutheran Medical Center Inc2163331414793

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. Dr Ezana M Azene allows following entities to bill medicare on his behalf.
Entity NameGundersen Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031106000139
Entity NameMoundview Memorial Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710939533
PECOS PAC ID: 1355250432
Enrollment ID: O20031121000846
Entity NameMemorial Hospital Of Boscobel
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760459846
PECOS PAC ID: 8325957673
Enrollment ID: O20040115000725
Entity NameBlack River Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811940331
PECOS PAC ID: 3173431178
Enrollment ID: O20040128000517
Entity NamePrairie Du Chien Memorial Hospital Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619024197
PECOS PAC ID: 4981698537
Enrollment ID: O20040414001308
Entity NameTomah Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992970453
PECOS PAC ID: 6901897016
Enrollment ID: O20040519000123
Entity NameSt Joseph's Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104031798
PECOS PAC ID: 3971586439
Enrollment ID: O20040615000273
Entity NameTri-county Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417201864
PECOS PAC ID: 4587642418
Enrollment ID: O20040708000696
Entity NameVernon Memorial Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497750921
PECOS PAC ID: 8325958416
Enrollment ID: O20050526000095
Entity NameVernon Memorial Healthcare Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1497750921
PECOS PAC ID: 8325958416
Enrollment ID: O20101117000959
Entity NameGundersen Lutheran Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225873458
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254
Entity NamePalmer Lutheran Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891744108
PECOS PAC ID: 4284544255
Enrollment ID: O20170127002157
Entity NameSaint Elizabeths Hospital Of Wabasha Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659355600
PECOS PAC ID: 5092619387
Enrollment ID: O20171103000047

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. Dr Ezana M Azene 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 AddressPractice Location Address
Dr Ezana M Azene, MD, PHD
1836 South Ave,
La Crosse, WI 54601-5429

Ph: (608) 782-7300		Dr Ezana M Azene, MD, PHD
1836 South Ave,
La Crosse, WI 54601-5429

Ph: (608) 782-7300

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.