| Jeanine L Brunclik, MD | |
|
235 State St, Saint Croix Falls, WI 54024-4117 | |
| (715) 483-3221 | |
| (715) 483-0507 |
| Full Name | Jeanine L Brunclik |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 235 State St, Saint Croix Falls, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689758237 | NPI | - | NPPES |
| 389435600 | Medicaid | MN | |
| 080H9BR | Other | MN | BCBS MN PRO FEE |
| 34840300 | Medicaid | WI | |
| 01-23254 | Other | MN | MEDICA |
| NA9031046087 | Other | MN | PREFERRED ONE |
| 501S5BR | Other | MN | BCBS MN FACILITY |
| HP58527 | Other | MN | HEALTHPARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 49004 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Croix Regional Medical Ctr | Saint croix falls, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Croix Regional Medical Center | 9335032184 | 109 |
| St. Croix Regional Medical Center | 9335032184 | 109 |
| Entity Name | St. Croix Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20110929000165 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanine L Brunclik, MD 235 State St, Saint Croix Falls, WI 54024-4117 Ph: (715) 483-3221 | Jeanine L Brunclik, MD 235 State St, Saint Croix Falls, WI 54024-4117 Ph: (715) 483-3221 |
Melissa L Hall, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 204 S Adams St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 | |
William D. Beyer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 204 S Adams St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507 | |
Marsha J. Beyer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 204 S Adams St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507 | |
Dr. Rene Brian Milner, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 S Adams St, Saint Croix Falls, WI 54024 Phone: 715-483-5133 Fax: 715-483-3904 | |
Laura L Krueger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507 | |
Victoria L Shank, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507 | |
Dr. Inieke Mike Ikpe, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507 |