| John R Basarich, MD | |
|
127 Hospital Dr, Watertown, WI 53098-3303 | |
| (920) 261-8500 | |
| (920) 261-8828 |
| Full Name | John R Basarich |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 24 Years |
| Location | 127 Hospital Dr, Watertown, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033178512 | NPI | - | NPPES |
| 34555800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 44987 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marquardt Home Health | Watertown, WI | Home health agency |
| Watertown Memorial Hospital | Watertown, WI | Hospital |
| Fort Memorial Hospital | Fort atkinson, WI | Hospital |
| Aurora Medical Center - Summit | Summit, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fort Healthcare Inc | 0840189718 | 124 |
| Watertown Family Practice Associates, Sc | 4183608037 | 10 |
| Entity Name | Fort Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417993361 PECOS PAC ID: 0840189718 Enrollment ID: O20040319001411 |
| Entity Name | Watertown Family Practice Associates, Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811064942 PECOS PAC ID: 4183608037 Enrollment ID: O20040617000150 |
| Entity Name | Apogee Medical Group Wisconsin Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629415591 PECOS PAC ID: 2365677952 Enrollment ID: O20131107001094 |
| Entity Name | Apogee Medical Group Waukesha Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528544608 PECOS PAC ID: 1153670054 Enrollment ID: O20180827002216 |
| Mailing Address | Practice Location Address |
|---|---|
| John R Basarich, MD 127 Hospital Dr, Watertown, WI 53098-3303 Ph: (920) 261-8500 | John R Basarich, MD 127 Hospital Dr, Watertown, WI 53098-3303 Ph: (920) 261-8500 |
Dr. Robert Steven Legrow, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 127 Hospital Dr, Watertown, WI 53098 Phone: 920-261-8500 Fax: 920-261-8828 | |
Dr. Michael A Grajewski, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1507 Doctors Ct, Watertown, WI 53094 Phone: 920-261-4111 Fax: 920-261-8387 | |
Danielle G. Tonelli, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 127 Hospital Dr, Watertown, WI 53098 Phone: 920-261-8500 Fax: 920-261-8828 | |
Michael E Sullivan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 127 Hospital Dr, Watertown, WI 53098 Phone: 920-261-8500 | |
Richard C Holden, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 127 Hospital Dr, Watertown, WI 53098 Phone: 920-261-8500 | |
Quinn C Burton, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 W Main St, Watertown, WI 53094 Phone: 262-472-1300 |