| Heather L Runge, PA-C | |
|
600 W Shell Creek Rd, Minong, WI 54859-9145 | |
| (715) 466-2201 | |
| (715) 466-2205 |
| Full Name | Heather L Runge |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 600 W Shell Creek Rd, Minong, 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 |
|---|---|---|---|
| 1871528083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1413 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aspirus Rhinelander Hospital | Rhinelander, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aspirus Rhinelander And Tomahawk Hospitals And Clinics, Inc. | 9335059856 | 566 |
| Entity Name | Aspirus Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003021452 PECOS PAC ID: 1052223625 Enrollment ID: O20031103000267 |
| Entity Name | Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144991340 PECOS PAC ID: 9335059856 Enrollment ID: O20031126000706 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather L Runge, PA-C 600 W Shell Creek Rd, Minong, WI 54859-9145 Ph: (715) 466-2201 | Heather L Runge, PA-C 600 W Shell Creek Rd, Minong, WI 54859-9145 Ph: (715) 466-2201 |
Mr. Frederick D Kosmach, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 W Shell Creek Rd, Minong, WI 54859 Phone: 715-466-2201 Fax: 715-466-2205 |