Indianhead Medical Center - Medicare Primary Care in Siren, WI

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Indianhead Medical Center is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Siren, Wisconsin. The current practice location for Indianhead Medical Center is 7728 W Main St, Siren, Wisconsin. For appointments, you can reach them via phone at (715) 349-2910. The mailing address for Indianhead Medical Center is Po Box 300, Shell Lake, Wisconsin and phone number is (715) 468-7833.

Indianhead Medical Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1053859058. 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) 349-2910.

Contact Information

Indianhead Medical Center
7728 W Main St
Siren
WI 54872-8041
(715) 349-2910
(715) 468-7303

Map and Direction


Primary Care Clinic Profile

Full NameIndianhead Medical Center
SpecialityClinic/Center
Location7728 W Main St, Siren, Wisconsin
Authorized Official Name and PositionShannon James Jack (EXECUTIVE VICE PRESIDENT)
Authorized Official Contact7154687833
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Indianhead Medical Center
Po Box 300
Shell Lake
WI 54871-0300

Ph: (715) 468-7833		Indianhead Medical Center
7728 W Main St
Siren
WI 54872-8041

Ph: (715) 349-2910

NPI Details:

NPI Number1053859058
Provider Enumeration Date02/09/2017
Last Update Date03/09/2020

Medicare PECOS Information:

Medicare PECOS PAC ID6406748839
Medicare Enrollment IDO20170331000695

Medical Identifiers

Medical identifiers for Indianhead Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053859058NPI-NPPES
11020710MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (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. Indianhead Medical Center acts as a billing entity for following providers:
Provider NameEydie A Farrow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487652772
PECOS PAC ID: 0840283495
Enrollment ID: I20040407001388
Provider NameJuan S Preciado-riestra
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295739225
PECOS PAC ID: 2860464369
Enrollment ID: I20040806000124
Provider NameJeffrey L Dunham
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841295862
PECOS PAC ID: 4183518673
Enrollment ID: I20041006000469
Provider NameAllan Haesemeyer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548267768
PECOS PAC ID: 8729972211
Enrollment ID: I20100813000960
Provider NameTerry L Weinert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467965988
PECOS PAC ID: 0143588780
Enrollment ID: I20180103001016
Provider NameAmy Bair
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1285862623
PECOS PAC ID: 4981841046
Enrollment ID: I20190913000258
Provider NameAshley M Regimbal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831819036
PECOS PAC ID: 1254796246
Enrollment ID: I20230426001691

Reviews and Comments


Clinic/Center in Siren, WI

Indianhead Medical Center Shell Lake, Inc.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 7728 W Main St, Siren, WI 54872
Phone: 153-492-9107    

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.