Burnett Medical Center Inc - Medicare Primary Care in Grantsburg, WI

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Burnett Medical Center Inc is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Grantsburg, Wisconsin. The current practice location for Burnett Medical Center Inc is 257 W Saint George Ave, Grantsburg, Wisconsin. For appointments, you can reach them via phone at (715) 463-5353. The mailing address for Burnett Medical Center Inc is 257 W Saint George Ave, Grantsburg, Wisconsin and phone number is (715) 463-5317.

Burnett Medical Center Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1356499784. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (715) 463-5353.

Contact Information

Burnett Medical Center Inc
257 W Saint George Ave
Grantsburg
WI 54840-7827
(715) 463-5353
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameBurnett Medical Center Inc
SpecialityClinic/Center
Location257 W Saint George Ave, Grantsburg, Wisconsin
Authorized Official Name and PositionTamra White (MEDICAL PRACTICE ADMINISTRATOR)
Authorized Official Contact7154637210
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Burnett Medical Center Inc
257 W Saint George Ave
Grantsburg
WI 54840-7827

Ph: (715) 463-5317		Burnett Medical Center Inc
257 W Saint George Ave
Grantsburg
WI 54840-7827

Ph: (715) 463-5353

NPI Details:

NPI Number1356499784
Provider Enumeration Date01/08/2007
Last Update Date10/10/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2163314931
Medicare Enrollment IDO20040326000457

Medical Identifiers

Medical identifiers for Burnett Medical Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356499784NPI-NPPES
001212MedicaidWI
110166100MedicaidWI
526247000MedicaidMN
124768MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 1034 (Wisconsin)Secondary
363A00000XPhysician Assistant 1034 (Wisconsin)Secondary
363L00000XNurse Practitioner 1034 (Wisconsin)Secondary
367A00000XAdvanced Practice Midwife 1034 (Wisconsin)Secondary
261QR1300XClinic/center - Rural Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Burnett Medical Center Inc acts as a billing entity for following providers:
Provider NameOleg Froymovich
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1417912015
PECOS PAC ID: 9436137155
Enrollment ID: I20040826000233
Provider NamePatrick G Hall
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1861497364
PECOS PAC ID: 3779529854
Enrollment ID: I20050629000181
Provider NameAnders E Ulland
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1376620351
PECOS PAC ID: 0749218493
Enrollment ID: I20050803000078
Provider NameDebra H Hammer
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1194880955
PECOS PAC ID: 1850306325
Enrollment ID: I20060221000134
Provider NameBlaise P Vitale
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487713723
PECOS PAC ID: 2668487133
Enrollment ID: I20060221000144
Provider NameClaudio F Nunes
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1053445411
PECOS PAC ID: 9537260963
Enrollment ID: I20070728000214
Provider NameLynn Carlson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295850378
PECOS PAC ID: 0941372346
Enrollment ID: I20080630000458
Provider NameMelinda A Deye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801056288
PECOS PAC ID: 6305900044
Enrollment ID: I20090126000269
Provider NameVincent A Simone
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1427053917
PECOS PAC ID: 2365406048
Enrollment ID: I20090723000802
Provider NameTimothy G Novick
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366500753
PECOS PAC ID: 6103960141
Enrollment ID: I20100215000526
Provider NameMuhammad Talha Khan
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1053558676
PECOS PAC ID: 7618191958
Enrollment ID: I20140609000304
Provider NameHenry K Bong
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1831213438
PECOS PAC ID: 7517140353
Enrollment ID: I20160114001157
Provider NameLinae M Hicks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841470689
PECOS PAC ID: 2264731827
Enrollment ID: I20160620001604
Provider NameMark L Thayer
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1568424778
PECOS PAC ID: 8729117833
Enrollment ID: I20170131000267
Provider NameNicole M Kelsen
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1750660783
PECOS PAC ID: 1658662127
Enrollment ID: I20170907002312
Provider NameTorfi Thorkell Hoskuldsson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1518129071
PECOS PAC ID: 7810168671
Enrollment ID: I20171011003525
Provider NameNeelam Patel Nair
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124578810
PECOS PAC ID: 7810275641
Enrollment ID: I20171016002356
Provider NameAmy P Wachter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689806622
PECOS PAC ID: 0446397673
Enrollment ID: I20180412000783
Provider NameChristina Lachae Markovitz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841613619
PECOS PAC ID: 3375773948
Enrollment ID: I20180718004112
Provider NameBrett E Sorge
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1235558271
PECOS PAC ID: 3375844947
Enrollment ID: I20180808002276
Provider NameJames R Natwick
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1912916388
PECOS PAC ID: 0749202091
Enrollment ID: I20190705000478
Provider NameAbigail R Anderson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588155899
PECOS PAC ID: 3577993252
Enrollment ID: I20200421000329
Provider NameJohn P Kampa
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1447575469
PECOS PAC ID: 3173838836
Enrollment ID: I20200612000085
Provider NameAbigail R Dewitt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306334321
PECOS PAC ID: 3173871860
Enrollment ID: I20201201000712
Provider NameStanley P Dick
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1932163367
PECOS PAC ID: 9739216847
Enrollment ID: I20210104001893
Provider NameMolly M Ilstrup
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326634478
PECOS PAC ID: 1052725207
Enrollment ID: I20210128002475
Provider NameChristie D Shelly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093280349
PECOS PAC ID: 9234483686
Enrollment ID: I20220720001348
Provider NameBrittany Boss
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700516200
PECOS PAC ID: 3678957057
Enrollment ID: I20220902001238
Provider NameJordan D Fraser
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821650466
PECOS PAC ID: 4486989423
Enrollment ID: I20220902001359
Provider NameGretchen Jean Gerovac
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124602081
PECOS PAC ID: 4789085028
Enrollment ID: I20221115002559
Provider NameSarah Ogilvie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467186262
PECOS PAC ID: 9537539069
Enrollment ID: I20221228000742
Provider NameAnn M Olson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1386973048
PECOS PAC ID: 7810354933
Enrollment ID: I20230606000854
Provider NameCassandra E Carlone
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699766055
PECOS PAC ID: 8325094360
Enrollment ID: I20231218002764
Provider NameNicole M Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568285229
PECOS PAC ID: 8527594068
Enrollment ID: I20241209000652

Reviews and Comments


Clinic/Center in Grantsburg, WI


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.