Dr Ren M Ariizumi, MD is a medicare enrolled "Anesthesiology" physician in Minocqua, Wisconsin. His current practice location is
9576 Hwy 70, Minocqua, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 358-1000.
Dr Ren M Ariizumi is licensed to practice in Wisconsin (license number 72402-20) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255832762.
Physician's Profile
Full Name | Dr Ren M Ariizumi |
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Gender | Male |
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Speciality | Anesthesiology |
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Location | 9576 Hwy 70, Minocqua, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255832762
- Provider Enumeration Date: 02/21/2018
- Last Update Date: 03/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 4486038668
- Enrollment ID: I20220907003030
Medical Identifiers
Medical identifiers for Dr Ren M Ariizumi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255832762 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 72402-20 (Wisconsin) | Primary |
207L00000X | Anesthesiology | 0101275609 (Virginia) | Secondary |
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 Ren M Ariizumi allows following entities to bill medicare on his behalf.
Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
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Entity Name | Dominion Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073554952 PECOS PAC ID: 7618863713 Enrollment ID: O20040305000503 |
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Entity Name | Inova Cares - Community |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861131906 PECOS PAC ID: 9537526330 Enrollment ID: O20230620001611 |
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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 Ren M Ariizumi 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 Ren M Ariizumi, MD 2307 Sweet Pepperbrush Loop, Dumfries, VA 22026-3052 Ph: (917) 836-7746 | Dr Ren M Ariizumi, MD 9576 Hwy 70, Minocqua, WI 54548-9067 Ph: (715) 358-1000 |
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