| Mr Mark R Zellmer, PA-C | |
|
18606 Ervin St, Whitehall, WI 54773-8613 | |
| (715) 538-4355 | |
| Not Available |
| Full Name | Mr Mark R Zellmer |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 43 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 |
|---|---|---|---|
| 1023013364 | NPI | - | NPPES |
| 42918400 | Medicaid | WI | |
| 874650800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 8874 (Minnesota) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 507 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gundersen Tri-county Hospital And Clinics | Whitehall, WI | Hospital |
| Gundersen St Josephs Hospital And Clinics | Hillsboro, WI | Hospital |
| Gundersen Lutheran Medical Center | La crosse, WI | Hospital |
| Gundersen Tri-county Hospital And Clinics | Whitehall, WI | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tri-county Memorial Hospital Inc | 4587642418 | 75 |
| St Josephs Health Services Inc | 3971586439 | 71 |
| 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 | Moundview Memorial Hospital & Clinics, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710939533 PECOS PAC ID: 1355250432 Enrollment ID: O20031121000846 |
| Entity Name | St Joseph's Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104031798 PECOS PAC ID: 3971586439 Enrollment ID: O20040615000273 |
| 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 | St Joseph's Health Services Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1972591410 PECOS PAC ID: 3971586439 Enrollment ID: O20061104000314 |
| Entity Name | Tri-county Memorial Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1124063573 PECOS PAC ID: 4587642418 Enrollment ID: O20090901000361 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark R Zellmer, PA-C 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Mr Mark R Zellmer, PA-C 18606 Ervin St, Whitehall, WI 54773-8613 Ph: (715) 538-4355 |
Brian S Vike, 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 |