Ho Chunk Nation - Medicare Primary Care in Black River Falls, WI

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Ho Chunk Nation is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Black River Falls, Wisconsin. The current practice location for Ho Chunk Nation is N6520 Lumberjack Guy Rd, Black River Falls, Wisconsin. For appointments, you can reach them via phone at (715) 284-9851. The mailing address for Ho Chunk Nation is N6520 Lumberjack Guy Rd, Black River Falls, Wisconsin and phone number is (715) 284-9851.

Ho Chunk Nation is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1407911795. 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) 284-9851.

Contact Information

Ho Chunk Nation
N6520 Lumberjack Guy Rd
Black River Falls
WI 54615-5405
(715) 284-9851
(715) 284-5150

Map and Direction


Primary Care Clinic Profile

Full NameHo Chunk Nation
SpecialityClinic/Center
LocationN6520 Lumberjack Guy Rd, Black River Falls, Wisconsin
Authorized Official Name and PositionLiz M Lund (PROVIDER NETWORK MANAGER)
Authorized Official Contact7152849851
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ho Chunk Nation
N6520 Lumberjack Guy Rd
Black River Falls
WI 54615-5405

Ph: (715) 284-9851		Ho Chunk Nation
N6520 Lumberjack Guy Rd
Black River Falls
WI 54615-5405

Ph: (715) 284-9851

NPI Details:

NPI Number1407911795
Provider Enumeration Date12/27/2006
Last Update Date03/23/2018

Medicare PECOS Information:

Medicare PECOS PAC ID5496709867
Medicare Enrollment IDO20050309000066

Medical Identifiers

Medical identifiers for Ho Chunk Nation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407911795NPI-NPPES
32955400MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) 1413 (Wisconsin)Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (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. Ho Chunk Nation acts as a billing entity for following providers:
Provider NameAmy J Delong
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932278090
PECOS PAC ID: 8426028390
Enrollment ID: I20040728000833
Provider NameThomas E Zirkel
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1619935269
PECOS PAC ID: 9830111574
Enrollment ID: I20051222000320
Provider NameMary Ellen Sabourin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083670277
PECOS PAC ID: 6507888153
Enrollment ID: I20051222000481
Provider NameEric D Hamburg
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922064518
PECOS PAC ID: 5395767958
Enrollment ID: I20051222000578
Provider NameKathryn E Braaten
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1346454428
PECOS PAC ID: 6002967825
Enrollment ID: I20090707000482
Provider NameKevin M Gilmartin
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1588643803
PECOS PAC ID: 1951442441
Enrollment ID: I20100106000232
Provider NameChristine R Seguin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841386232
PECOS PAC ID: 5890965263
Enrollment ID: I20110823000720
Provider NameSue M Christopherson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841386133
PECOS PAC ID: 3870763543
Enrollment ID: I20110907001377
Provider NameLisa M Peterson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1881988244
PECOS PAC ID: 1658541339
Enrollment ID: I20110907001434
Provider NameHeather C Jerzak
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1124455183
PECOS PAC ID: 5294962379
Enrollment ID: I20131217000509
Provider NameRachel M Lundberg
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1356704787
PECOS PAC ID: 5991091050
Enrollment ID: I20160915002410
Provider NameKyla N Ripp
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1265977425
PECOS PAC ID: 7012291966
Enrollment ID: I20170221002404
Provider NameAshley V Jakel
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194272419
PECOS PAC ID: 3971887761
Enrollment ID: I20170222001368
Provider NameNeil F Cox
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346660685
PECOS PAC ID: 5597078717
Enrollment ID: I20171018003320
Provider NameRuth A Garvin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1467770594
PECOS PAC ID: 9133474364
Enrollment ID: I20180612001934
Provider NameRachael Ann Dozer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1356725162
PECOS PAC ID: 4789927088
Enrollment ID: I20190529001761
Provider NameKatie Peper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003463365
PECOS PAC ID: 0143654640
Enrollment ID: I20191216001393
Provider NameAlex Hunter Kivimaki
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1467957191
PECOS PAC ID: 3971994450
Enrollment ID: I20211216000890
Provider NameLaura Pattison
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922295963
PECOS PAC ID: 6507956851
Enrollment ID: I20221006001704
Provider NameJessica Bette Weeden
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194290163
PECOS PAC ID: 3971973033
Enrollment ID: I20230105002404
Provider NameJennifer Baird
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801270418
PECOS PAC ID: 7416328075
Enrollment ID: I20230119000868
Provider NameAlex M Richeson
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1114623337
PECOS PAC ID: 8729447925
Enrollment ID: I20230706002281
Provider NameBrittany Marie Hayes
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1720610454
PECOS PAC ID: 1759731573
Enrollment ID: I20231220000714
Provider NameTracy M Martin
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1700222395
PECOS PAC ID: 1355785148
Enrollment ID: I20240220003831
Provider NameJennifer D Powers
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1780016766
PECOS PAC ID: 5597109306
Enrollment ID: I20240220004402
Provider NameJennifer Lynn Hastings
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1538794284
PECOS PAC ID: 1456795103
Enrollment ID: I20240221001277
Provider NameJohn Pleugers
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1083027577
PECOS PAC ID: 3173969854
Enrollment ID: I20240316000441
Provider NameCaitlin Mary Clifford
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1801493994
PECOS PAC ID: 2668819699
Enrollment ID: I20240326001401
Provider NameHera Jane Lonetree-rindahl
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1932545902
PECOS PAC ID: 7315465085
Enrollment ID: I20250516000354

Reviews and Comments


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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.