Larry R Brunzlick, MD in Medford, WI - Medicare Emergency Medicine

Larry R Brunzlick, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Medford, Wisconsin. His current practice location is 135 South Gibson Street, Medford, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 748-8100.

Larry R Brunzlick is licensed to practice in Wisconsin (license number 24477) 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 1770646721.

Contact Information

	Larry R Brunzlick, MD
	135 South Gibson Street, Medford, WI 54451
	(715) 748-8100
	(715) 748-7590

Map and Direction

Physician's Profile

Full Name	Larry R Brunzlick
Gender	Male
Speciality	Emergency Medicine - Emergency Medical Services
Location	135 South Gibson Street, Medford, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770646721
Provider Enumeration Date: 12/19/2006
Last Update Date: 05/15/2012

Medicare PECOS Information:

PECOS PAC ID: 4385832344
Enrollment ID: I20101217000680

Medical Identifiers

Medical identifiers for Larry R Brunzlick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770646721	NPI	-	NPPES
30461100	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PE0004X	Emergency Medicine - Emergency Medical Services	24477 (Wisconsin)	Primary

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. Larry R Brunzlick allows following entities to bill medicare on his behalf.

Entity Name	Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831251040 PECOS PAC ID: 1557271202 Enrollment ID: O20040212000310

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. Larry R Brunzlick 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
Larry R Brunzlick, MD 135 South Gibson Street, Medford, WI 54451 Ph: (715) 748-8100	Larry R Brunzlick, MD 135 South Gibson Street, Medford, WI 54451 Ph: (715) 748-8100

Reviews and Comments

Emergency Medicine Doctors in Medford, WI

Steven Fredrick Hansen, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 135 South Gibson, Medford, WI 54451 Phone: 715-748-8100 Fax: 715-748-7590
Ronald L Kowle, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 143 S Gibson St, Medford, WI 54451 Phone: 715-748-2121

Larry R Brunzlick, MD - Medicare Emergency Medicine in Medford, WI