Dr Vasilisa Mironovich, MD in Portage, WI

Dr Vasilisa Mironovich, MD is a medicare enrolled "Family Medicine" physician in Portage, Wisconsin. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Divine Savior Healthcare Inc and her current practice location is 2817 New Pinery Rd, Portage, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 742-4131.

Dr Vasilisa Mironovich is licensed to practice in Wisconsin (license number 60837-20) 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 1295024479.

Contact Information

	Dr Vasilisa Mironovich, MD
	2817 New Pinery Rd, Portage, WI 53901-9240
	(608) 742-4131
	(608) 745-6393

Map and Direction

Physician's Profile

Full Name	Dr Vasilisa Mironovich
Gender	Female
Speciality	Family Practice
Experience	14 Years
Location	2817 New Pinery Rd, Portage, 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 Vasilisa Mironovich graduated from medical school in 2010

NPI Data:

NPI Number: 1295024479
Provider Enumeration Date: 03/28/2011
Last Update Date: 09/02/2014

Medicare PECOS Information:

PECOS PAC ID: 5294956157
Enrollment ID: I20141020000665

Medical Identifiers

Medical identifiers for Dr Vasilisa Mironovich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295024479	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	60837-20 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Divine Savior Healthcare	Portage, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Divine Savior Healthcare Inc	5799684007	77

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 Vasilisa Mironovich allows following entities to bill medicare on her behalf.

Entity Name	Divine Savior Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909

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 Vasilisa Mironovich 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 Vasilisa Mironovich, MD 2817 New Pinery Rd, Portage, WI 53901-9240 Ph: (608) 742-4131	Dr Vasilisa Mironovich, MD 2817 New Pinery Rd, Portage, WI 53901-9240 Ph: (608) 742-4131

Reviews and Comments

Family Medicine Doctors in Portage, WI

Kelly Coker, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-745-5042
Richard J Qualy, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2977 County Hwy Cx, Portage, WI 53901 Phone: 608-742-3004 Fax: 608-742-2399
Gerald L Krumpos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2825 Hunters Trl, Portage, WI 53901 Phone: 608-742-7161 Fax: 608-745-3060
Dr. Jamie John Kling, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2977 County Hwy Cx, Portage, WI 53901 Phone: 608-742-3004 Fax: 608-742-2399
Dr. Sarah M Haroldson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2825 Hunters Trl, Portage, WI 53901 Phone: 608-742-7161 Fax: 608-745-3990
David D Gregory, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2825 Hunters Trl, Portage, WI 53901 Phone: 608-724-7161 Fax: 608-745-3060

Dr Vasilisa Mironovich, MD - Medicare Family Practice in Portage, WI