| Brian S Vike, PA-C | |
|
18606 Ervin St, Whitehall, WI 54773-8613 | |
| (715) 538-4355 | |
| Not Available |
| Full Name | Brian S Vike |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 18606 Ervin St, Whitehall, 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 |
|---|---|---|---|
| 1033525860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 363A00000X | Physician Assistant | 3945 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gundersen Lutheran Medical Center | La crosse, WI | Hospital |
| Tomah Memorial Hospital | Tomah, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gundersen Lutheran Medical Center Inc | 2163331414 | 888 |
| Entity Name | Gundersen Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
| Entity Name | Tomah Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992970453 PECOS PAC ID: 6901897016 Enrollment ID: O20040519000123 |
| Entity Name | Tri-county Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417201864 PECOS PAC ID: 4587642418 Enrollment ID: O20040708000696 |
| Entity Name | Tomah Memorial Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1184765240 PECOS PAC ID: 6901897016 Enrollment ID: O20101120000172 |
| Entity Name | Gundersen Lutheran Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225873458 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian S Vike, PA-C 18601 Lincoln St, Whitehall, WI 54773-8605 Ph: (715) 538-4355 | Brian S Vike, PA-C 18606 Ervin St, Whitehall, WI 54773-8613 Ph: (715) 538-4355 |
Mr. Mark R Zellmer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18606 Ervin St, Whitehall, WI 54773 Phone: 715-538-4355 |
Jeffery Scott Herried, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18606 Ervin St, Whitehall, WI 54773 Phone: 715-538-4355 |
Caitlin Marie Luttropp, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18601 Lincoln St, Whitehall, WI 54773 Phone: 715-538-4361 |
Douglas B Moericke, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18601 Lincoln St, Whitehall, WI 54773 Phone: 715-538-4361 |
Bethany Rose Yard, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 18601 Lincoln Street, Whitehall, WI 54773 Phone: 715-538-4361 Fax: 715-538-2912 |
Angela E House, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 18601 Lincoln St, Whitehall, WI 54773 Phone: 715-538-4355 |
Tayla J Perotti, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 18601 Lincoln St, Whitehall, WI 54773 Phone: 715-538-4361 |