| John David Anczak, PAC | |
|
733 W Clairemont Ave, Suite A, Eau Claire, WI 54701-6117 | |
| (715) 838-5222 | |
| Not Available |
| Full Name | John David Anczak |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 733 W Clairemont Ave, Eau Claire, 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 |
|---|---|---|---|
| 1881793206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10686 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 1241 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System In Eau Claire | Eau claire, WI | Hospital |
| M Health Fairview St John's Hospital | Maplewood, MN | Hospital |
| Fairview Hospital University | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Health System-northwest Wisconsin Region Inc | 4385553627 | 797 |
| Healtheast Medical Research Institute | 3971407636 | 665 |
| Fairview Clinics | 7113830142 | 799 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235588831 PECOS PAC ID: 4385553627 Enrollment ID: O20161109002075 |
| Entity Name | Mayo Clinic Health System-northwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154372944 PECOS PAC ID: 4385553627 Enrollment ID: O20171012000001 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811550155 PECOS PAC ID: 7113830142 Enrollment ID: O20210129001835 |
| Mailing Address | Practice Location Address |
|---|---|
| John David Anczak, PAC Po Box 860912, Minneapolis, MN 55486-0912 Ph: (715) 838-5222 | John David Anczak, PAC 733 W Clairemont Ave, Suite A, Eau Claire, WI 54701-6117 Ph: (715) 838-5222 |
Jennifer Lynn Motto, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 |
Bryan D. Pooler, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2116 Craig Rd, Eau Claire, WI 54701 Phone: 715-858-4500 |
Edward S Pisarcik Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 W Clairemont Ave, Eau Claire, WI 54701 Phone: 414-290-6720 Fax: 414-290-6755 |
Faith Wayua Matheka, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1400 Bellinger St, Eau Claire, WI 54703 Phone: 715-838-5222 |
Noel Elizabeth Kroeplin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 733 W Clairemont Ave, Eau Claire, WI 54701 Phone: 715-838-5222 |
Lauren Emily Bogumill, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3213 Stein Blvd, Eau Claire, WI 54701 Phone: 715-836-9242 |
David W Benning, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 733 W Clairemont Ave, Eau Claire, WI 54701 Phone: 715-838-5222 |