| Mr Roger A Handtke, DO | |
|
Essentia Health Spooner Clinic, 1180 Chandler Drive, Spooner, WI 54801 | |
| (715) 635-2151 | |
| Not Available |
| Full Name | Mr Roger A Handtke |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | Essentia Health Spooner Clinic, Spooner, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396776589 | NPI | - | NPPES |
| 100209300 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02001222A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 63316 (Wisconsin) | Primary |
| Entity Name | Lac Courte Oreilles Governing Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194830208 PECOS PAC ID: 7810983517 Enrollment ID: O20040420001318 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Roger A Handtke, DO 13380 W Trepania Rd, Hayward, WI 54843-2186 Ph: (715) 638-5100 | Mr Roger A Handtke, DO Essentia Health Spooner Clinic, 1180 Chandler Drive, Spooner, WI 54801 Ph: (715) 635-2151 |
Dr. Charles Grannis Coffey, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 819 Ash St, Spooner, WI 54801 Phone: 715-635-2111 Fax: 715-635-8674 | |
Dr. Patrick J Mccann, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 819 Ash St, Spooner, WI 54801 Phone: 715-635-2111 | |
Bruce Edward Bray, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 707 Ash St, Spooner, WI 54801 Phone: 715-635-2151 | |
Dr. Charles E Nelson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 819 Ash St, Spooner, WI 54801 Phone: 715-635-2111 Fax: 715-635-6470 | |
Sarah Kramer Mcdonald, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 819 Ash St, Spooner, WI 54801 Phone: 715-635-2111 | |
James Ballantine Brown Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 819 Ash St, Spooner, WI 54801 Phone: 908-619-0124 |