| Buffalo River Clinic Sc | |
|
12830 Cox Lane Osseo WI 54758 | |
| (715) 597-6767 | |
| (715) 597-2819 |
| Full Name | Buffalo River Clinic Sc |
|---|---|
| Speciality | General Practice |
| Location | 12830 Cox Lane, Osseo, Wisconsin |
| Authorized Official Name and Position | Thomas Screnock (CEO) |
| Authorized Official Contact | 7155976767 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buffalo River Clinic Sc Po Box 398 Osseo WI 54758 Ph: (715) 597-6767 | Buffalo River Clinic Sc 12830 Cox Lane Osseo WI 54758 Ph: (715) 597-6767 |
| NPI Number | 1316099161 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9638208721 |
|---|---|
| Medicare Enrollment ID | O20100528000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316099161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Thomas Screnock |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1619932878 PECOS PAC ID: 9436288529 Enrollment ID: I20100528000059 |
Mayo Clinic Health System-northwest Wisconsin Region, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13025 8th St, Osseo, WI 54758 Phone: 715-597-3121 |