Integrated Wound Care Management Wisconsin Llc - Medicare Primary Care in Superior, WI

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Integrated Wound Care Management Wisconsin Llc is a medicare enrolled primary clinic (General Practice) in Superior, Wisconsin. The current practice location for Integrated Wound Care Management Wisconsin Llc is 1800 New York Ave, Superior, Wisconsin. For appointments, you can reach them via phone at (201) 870-1194. The mailing address for Integrated Wound Care Management Wisconsin Llc is 492c Cedar Ln Ste 513, Teaneck, New Jersey and phone number is () -.

Integrated Wound Care Management Wisconsin Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1154963049. 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 (201) 870-1194.

Contact Information

Integrated Wound Care Management Wisconsin Llc
1800 New York Ave
Superior
WI 54880-2008
(201) 870-1194
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameIntegrated Wound Care Management Wisconsin Llc
SpecialityGeneral Practice
Location1800 New York Ave, Superior, Wisconsin
Authorized Official Name and PositionDiane Lusas (MEMBER)
Authorized Official Contact7324514318
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Integrated Wound Care Management Wisconsin Llc
492c Cedar Ln Ste 513
Teaneck
NJ 07666-1713

Ph: () -		Integrated Wound Care Management Wisconsin Llc
1800 New York Ave
Superior
WI 54880-2008

Ph: (201) 870-1194

NPI Details:

NPI Number1154963049
Provider Enumeration Date10/11/2019
Last Update Date10/11/2019

Medicare PECOS Information:

Medicare PECOS PAC ID3375976038
Medicare Enrollment IDO20191210003327

Medical Identifiers

Medical identifiers for Integrated Wound Care Management Wisconsin Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154963049NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (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. Integrated Wound Care Management Wisconsin Llc acts as a billing entity for following providers:
Provider NameTrudy A Mara
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558326967
PECOS PAC ID: 6608898358
Enrollment ID: I20051222000373
Provider NameSondra J Duerkop
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508341629
PECOS PAC ID: 6901141118
Enrollment ID: I20181217001429
Provider NameTammy L Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528134129
PECOS PAC ID: 6901824333
Enrollment ID: I20190116003720
Provider NameChelsea N Fay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699337824
PECOS PAC ID: 1759611486
Enrollment ID: I20190924000817
Provider NameKara L Fausch
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417124553
PECOS PAC ID: 6103965553
Enrollment ID: I20191216002361
Provider NameEduard Tsyrulnykov
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720213812
PECOS PAC ID: 8527489855
Enrollment ID: I20200522000330
Provider NameAlison Jayme
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174965164
PECOS PAC ID: 5890928204
Enrollment ID: I20210128000775
Provider NameElizabeth C Stevenson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205436821
PECOS PAC ID: 4981003027
Enrollment ID: I20210524000506
Provider NameTiffany J Radke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730588823
PECOS PAC ID: 9638399470
Enrollment ID: I20210823000401
Provider NameSara H Perry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699443424
PECOS PAC ID: 3971996844
Enrollment ID: I20220616002146
Provider NameMorgan L Elsasser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588301477
PECOS PAC ID: 6608255823
Enrollment ID: I20220618000183
Provider NameStephanie Hope Armstrong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942871363
PECOS PAC ID: 9638554256
Enrollment ID: I20220919001884
Provider NameEzra Jay Sanchez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508517251
PECOS PAC ID: 0446620553
Enrollment ID: I20230106001271
Provider NameSierra Rae Kind
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679272454
PECOS PAC ID: 6406211978
Enrollment ID: I20230505001177

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.