Dr Mary Jo Crissler Belanger, MD in La Crosse, WI

Dr Mary Jo Crissler Belanger, MD is a medicare enrolled "Internal Medicine" physician in La Crosse, Wisconsin. She went to University Of North Dakota School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Gundersen Clinic Ltd, Gundersen Lutheran Medical Center Inc and her current practice location is 1836 South Ave, La Crosse, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 782-7300.

Dr Mary Jo Crissler Belanger is licensed to practice in Wisconsin (license number 60515) 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 1366493439.

Contact Information

	Dr Mary Jo Crissler Belanger, MD
	1836 South Ave, La Crosse, WI 54601-5429
	(608) 782-7300
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mary Jo Crissler Belanger
Gender	Female
Speciality	Internal Medicine
Experience	24 Years
Location	1836 South Ave, La Crosse, 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:

Dr Mary Jo Crissler Belanger attended and graduated from University Of North Dakota School Of Medicine in 2000

NPI Data:

NPI Number: 1366493439
Provider Enumeration Date: 05/13/2006
Last Update Date: 06/02/2015

Medicare PECOS Information:

PECOS PAC ID: 4688669328
Enrollment ID: I20130710000404

Medical Identifiers

Medical identifiers for Dr Mary Jo Crissler Belanger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366493439	NPI	-	NPPES
0406200	Other	MN	MEDICA
772660100	Medicaid	MN
172K2CR	Other	MN	BC BS
585241040263	Other	MN	PREFERRED ONE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	45697 (Minnesota)	Secondary
207R00000X	Internal Medicine	60515 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Gundersen Lutheran Medical Center	La crosse, WI	Hospice
Gundersen Lutheran Medical Center	La crosse, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gundersen Clinic Ltd	9638082779	359
Gundersen Lutheran Medical Center Inc	2163331414	800

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 Mary Jo Crissler Belanger allows following entities to bill medicare on her behalf.

Entity Name	Gundersen Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139

Entity Name	Gundersen Lutheran Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376593442 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254

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 Mary Jo Crissler Belanger 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
Dr Mary Jo Crissler Belanger, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300	Dr Mary Jo Crissler Belanger, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300

Reviews and Comments

Internal Medicine Doctors in La Crosse, WI

Mary K Frohnauer, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-775-2021
Derek A Hupp, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Padmavathi Mali, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Emily Catherine Dolan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Blake Donald Jordan, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Adie D Harbin Iii, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300
Gregory M Knorr, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300

Dr Mary Jo Crissler Belanger, MD - Medicare Internal Medicine in La Crosse, WI