Menominee Tribal Clinic - Medicare Primary Care in Keshena, WI

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Menominee Tribal Clinic is a medicare enrolled primary clinic (Family Medicine) in Keshena, Wisconsin. The current practice location for Menominee Tribal Clinic is W3275 Wolf River Road, Keshena, Wisconsin. For appointments, you can reach them via phone at (715) 799-3361. The mailing address for Menominee Tribal Clinic is Po Box 970, Keshena, Wisconsin and phone number is (715) 799-3361.

Menominee Tribal Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1568404721. 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) 799-3361.

Contact Information

Menominee Tribal Clinic
W3275 Wolf River Road
Keshena
WI 54135
(715) 799-3361
(715) 799-3099

Map and Direction


Primary Care Clinic Profile

Full NameMenominee Tribal Clinic
SpecialityFamily Medicine
LocationW3275 Wolf River Road, Keshena, Wisconsin
Authorized Official Name and PositionJerry L Waukau (HEALTH ADMINISTRATOR)
Authorized Official Contact7157993361
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Menominee Tribal Clinic
Po Box 970
Keshena
WI 54135-0970

Ph: (715) 799-3361		Menominee Tribal Clinic
W3275 Wolf River Road
Keshena
WI 54135

Ph: (715) 799-3361

NPI Details:

NPI Number1568404721
Provider Enumeration Date06/12/2006
Last Update Date04/02/2019

Medicare PECOS Information:

Medicare PECOS PAC ID2668459264
Medicare Enrollment IDO20040701000838

Medical Identifiers

Medical identifiers for Menominee Tribal Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568404721NPI-NPPES
32955700MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Menominee Tribal Clinic acts as a billing entity for following providers:
Provider NameDavid C Larsen
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1235125204
PECOS PAC ID: 1254237472
Enrollment ID: I20031209000802
Provider NameNicholas J Keszo
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1710928916
PECOS PAC ID: 3072404029
Enrollment ID: I20040322000381
Provider NameRobert Paul Chelberg
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1225033137
PECOS PAC ID: 6507843125
Enrollment ID: I20040701001024
Provider NamePeter C Keenan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1043250665
PECOS PAC ID: 4789658360
Enrollment ID: I20040820000051
Provider NameShannon B Daun
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487636072
PECOS PAC ID: 6204892599
Enrollment ID: I20041208000657
Provider NameMichael J Oneill
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1083655245
PECOS PAC ID: 2769430297
Enrollment ID: I20050111000490
Provider NameLonna Lee Taylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184658098
PECOS PAC ID: 8628081007
Enrollment ID: I20060802000087
Provider NameBeth Gillis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245262351
PECOS PAC ID: 0941110829
Enrollment ID: I20060803000469
Provider NameJacqueline S Moe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902995251
PECOS PAC ID: 4385642081
Enrollment ID: I20061113000238
Provider NameWilliam J Stern
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1013977347
PECOS PAC ID: 4587753181
Enrollment ID: I20071205000051
Provider NameSandra M Landwehr
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1770544603
PECOS PAC ID: 8426116898
Enrollment ID: I20081029000523
Provider NameJohn K Culhane
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780624395
PECOS PAC ID: 3072707892
Enrollment ID: I20101104001492
Provider NameJoseph E Guenther
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720028343
PECOS PAC ID: 0143414961
Enrollment ID: I20101104001517
Provider NameAmy J Slagle
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225078835
PECOS PAC ID: 3779613054
Enrollment ID: I20101111000855
Provider NameElizabeth A Radtke-petri
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942240569
PECOS PAC ID: 5395931554
Enrollment ID: I20101130000595
Provider NameBrian Michael Grieves
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1588606966
PECOS PAC ID: 8426245432
Enrollment ID: I20101202001150
Provider NameSue C Weso
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053351676
PECOS PAC ID: 3971792946
Enrollment ID: I20110106000023
Provider NameDaniel J Wautlet
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1245257146
PECOS PAC ID: 3577725506
Enrollment ID: I20120508000588
Provider NameSarah E Harkey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285040428
PECOS PAC ID: 2668690678
Enrollment ID: I20140903001927
Provider NameEstelle A Ostgard
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518213115
PECOS PAC ID: 3678795143
Enrollment ID: I20151008001912
Provider NameCarol Lynn M Reichardt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285869156
PECOS PAC ID: 6800151689
Enrollment ID: I20180525001986
Provider NameHeather Marie Nennig
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174902209
PECOS PAC ID: 6800158775
Enrollment ID: I20191008002454
Provider NameJessica A Stevens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194095588
PECOS PAC ID: 5698181402
Enrollment ID: I20210302002809
Provider NameAlexandra Wolf
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194222075
PECOS PAC ID: 5991052144
Enrollment ID: I20220131001778
Provider NameStephanie D Hurda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316674542
PECOS PAC ID: 8527435148
Enrollment ID: I20221110000451
Provider NameKateri L Swett
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1003427931
PECOS PAC ID: 4082057443
Enrollment ID: I20240213002381

Reviews and Comments


Family Medicine in Keshena, 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.