Thedacare Medical Center - Waupaca, Inc. - Medicare Primary Care in Waupaca, WI

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Thedacare Medical Center - Waupaca, Inc. is a medicare enrolled primary clinic (Emergency Medicine) in Waupaca, Wisconsin. The current practice location for Thedacare Medical Center - Waupaca, Inc. is 800 Riverside Dr, Waupaca, Wisconsin. For appointments, you can reach them via phone at (715) 258-1000. The mailing address for Thedacare Medical Center - Waupaca, Inc. is 3 Neenah Ctr, Neenah, Wisconsin and phone number is (920) 830-5900.

Thedacare Medical Center - Waupaca, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1780782680. 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) 258-1000.

Contact Information

Thedacare Medical Center - Waupaca, Inc.
800 Riverside Dr
Waupaca
WI 54981-1943
(715) 258-1000
(715) 258-1626

Map and Direction


Primary Care Clinic Profile

Full NameThedacare Medical Center - Waupaca, Inc.
SpecialityEmergency Medicine
Location800 Riverside Dr, Waupaca, Wisconsin
Authorized Official Name and PositionWilliam Flett (CFO)
Authorized Official Contact9204544013
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Thedacare Medical Center - Waupaca, Inc.
3 Neenah Ctr
Neenah
WI 54956-3070

Ph: (920) 830-5900		Thedacare Medical Center - Waupaca, Inc.
800 Riverside Dr
Waupaca
WI 54981-1943

Ph: (715) 258-1000

NPI Details:

NPI Number1780782680
Provider Enumeration Date09/21/2006
Last Update Date04/12/2024

Medicare PECOS Information:

Medicare PECOS PAC ID3072504216
Medicare Enrollment IDO20040524000645

Medical Identifiers

Medical identifiers for Thedacare Medical Center - Waupaca, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780782680NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
282NC0060XGeneral Acute Care Hospital - Critical Access (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
207P00000XEmergency Medicine (* (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. Thedacare Medical Center - Waupaca, Inc. acts as a billing entity for following providers:
Provider NameJoseph R James
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1407962855
PECOS PAC ID: 0648160606
Enrollment ID: I20040316000388
Provider NameChandler Donald Caves
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1548256019
PECOS PAC ID: 7012909757
Enrollment ID: I20040401000742
Provider NameJohn W Silkey
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1073506192
PECOS PAC ID: 7214921402
Enrollment ID: I20040412000638
Provider NameWilliam T Kumprey
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1770560278
PECOS PAC ID: 0446240881
Enrollment ID: I20040525000469
Provider NameLana L Sanders
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1376505933
PECOS PAC ID: 7214912823
Enrollment ID: I20040618001271
Provider NameSean R Mccloy
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1942377577
PECOS PAC ID: 4082689542
Enrollment ID: I20040827001006
Provider NameRonald J Krajnik
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1225072184
PECOS PAC ID: 4789641705
Enrollment ID: I20041211000009
Provider NameJocko R Zifferblatt
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1437189420
PECOS PAC ID: 9739146424
Enrollment ID: I20041214000867
Provider NameRizwan Loya
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1447218755
PECOS PAC ID: 5890785166
Enrollment ID: I20050126000206
Provider NameRyan Nadboralski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932126943
PECOS PAC ID: 1254375371
Enrollment ID: I20050620000066
Provider NameChad E Voskuil
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1639147424
PECOS PAC ID: 8729094099
Enrollment ID: I20060223000234
Provider NameTimothy R Roberts
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386612836
PECOS PAC ID: 1759388218
Enrollment ID: I20061026000373
Provider NameJames S Heinzen
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1013908409
PECOS PAC ID: 8325029770
Enrollment ID: I20070313000085
Provider NameFrank J Mchugh
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1134170228
PECOS PAC ID: 7315990330
Enrollment ID: I20070426000251
Provider NameNathan M Larsen
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1992887848
PECOS PAC ID: 4082713060
Enrollment ID: I20070618000165
Provider NameJeffrey M Vanbendegom
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1477544427
PECOS PAC ID: 9436248002
Enrollment ID: I20071204000806
Provider NameDavid B Hale
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1811943509
PECOS PAC ID: 6305903139
Enrollment ID: I20091027000588
Provider NameSheila M Landon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942430996
PECOS PAC ID: 2567502461
Enrollment ID: I20091229000105
Provider NameKari J Heyn
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1083661466
PECOS PAC ID: 7810903614
Enrollment ID: I20100615000759
Provider NameAnwar Hamami
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1962405019
PECOS PAC ID: 4284537093
Enrollment ID: I20100713000080
Provider NameManuel Mendoza
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1740269158
PECOS PAC ID: 2860406865
Enrollment ID: I20100719000901
Provider NameBrian E Radtke
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1841226800
PECOS PAC ID: 4486667193
Enrollment ID: I20101007000889
Provider NameCarolyn A Hellman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1497789929
PECOS PAC ID: 9436344454
Enrollment ID: I20101116000262
Provider NameStaci J Radtke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558662254
PECOS PAC ID: 9234312257
Enrollment ID: I20110328000823
Provider NameShawn S Williamson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1386808319
PECOS PAC ID: 7214115542
Enrollment ID: I20110708000541
Provider NameJames Macneal
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1366692287
PECOS PAC ID: 8921136458
Enrollment ID: I20120808000362
Provider NameErik J Amoroso
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1922322585
PECOS PAC ID: 9638319791
Enrollment ID: I20130712000568
Provider NameErin K Eferem
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1700106796
PECOS PAC ID: 8426282534
Enrollment ID: I20131003000220
Provider NameDennis D Ford
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1811078777
PECOS PAC ID: 7113088527
Enrollment ID: I20140530000157
Provider NameBen Harris
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1700041167
PECOS PAC ID: 0345437950
Enrollment ID: I20150601002450
Provider NameAmber L Widenski
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1417255902
PECOS PAC ID: 1951535558
Enrollment ID: I20150610002099
Provider NameMark D Weissman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1366426538
PECOS PAC ID: 9133022890
Enrollment ID: I20150618000437
Provider NameJosephine Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629340906
PECOS PAC ID: 9739337023
Enrollment ID: I20160224001374
Provider NameAndrea L White Green
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1477538296
PECOS PAC ID: 5890609168
Enrollment ID: I20160615001027
Provider NameHarry Karydes
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1659582146
PECOS PAC ID: 9335273275
Enrollment ID: I20160713002698
Provider NameAndrew J Manspeaker
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1851730378
PECOS PAC ID: 2365670619
Enrollment ID: I20160808002603
Provider NameWeafue Saab
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1780941690
PECOS PAC ID: 5698993525
Enrollment ID: I20160930001692
Provider NameAnne Elizabeth Newbold
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1255566428
PECOS PAC ID: 1456591122
Enrollment ID: I20170413002217
Provider NameMaureen C Payant Mckenna
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1275766016
PECOS PAC ID: 3870761455
Enrollment ID: I20170703001107
Provider NameTheresa K Payant Mckenna
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1548493588
PECOS PAC ID: 5092839118
Enrollment ID: I20170703001156
Provider NameChristopher Tl Bender
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1043637903
PECOS PAC ID: 9830319359
Enrollment ID: I20170718003459
Provider NameJacqueline Christianson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427581909
PECOS PAC ID: 7416220900
Enrollment ID: I20170905002525
Provider NameCarmen L Miller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104339001
PECOS PAC ID: 6002177417
Enrollment ID: I20180228000208
Provider NameJoshua X Condado
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1861900201
PECOS PAC ID: 2961764287
Enrollment ID: I20180327001396
Provider NameJoseph S Brantman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1982090676
PECOS PAC ID: 0749594018
Enrollment ID: I20180716001299
Provider NameDonna M Bell
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1609816453
PECOS PAC ID: 6901702034
Enrollment ID: I20191028000152
Provider NameMichelle Lee Whitford
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1740490200
PECOS PAC ID: 7315093861
Enrollment ID: I20191211001259
Provider NameJohn P Budi
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1891050217
PECOS PAC ID: 4789981390
Enrollment ID: I20200130001201
Provider NameKelly M Mackowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689204075
PECOS PAC ID: 6507292604
Enrollment ID: I20200210001007
Provider NameJeffrey Matthew Harvey
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1144531724
PECOS PAC ID: 7416195110
Enrollment ID: I20200402002422
Provider NameNisha H Budi
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1598028706
PECOS PAC ID: 1759670078
Enrollment ID: I20200427000045
Provider NameClayborn John Morris
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1548575855
PECOS PAC ID: 4082882048
Enrollment ID: I20210126000504
Provider NameClifton A Robinson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1538279567
PECOS PAC ID: 6204879281
Enrollment ID: I20210210001061
Provider NameRobert E Docherty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093339541
PECOS PAC ID: 1052726049
Enrollment ID: I20210225001677
Provider NameEugene Kojo Oteng
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1023466950
PECOS PAC ID: 1052647427
Enrollment ID: I20210429002603
Provider NameJoanne Rousseau
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1891936969
PECOS PAC ID: 2961677026
Enrollment ID: I20210503001673
Provider NameLogan Robert Gorges
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1295146223
PECOS PAC ID: 2163851486
Enrollment ID: I20210506002916
Provider NameDavid M Richter
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1225565237
PECOS PAC ID: 2062813025
Enrollment ID: I20210628002671
Provider NameMichael C Butterfield
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1871835389
PECOS PAC ID: 7810247889
Enrollment ID: I20210908003053
Provider NameNabil J Bahu
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1881631638
PECOS PAC ID: 2062316540
Enrollment ID: I20220222000819
Provider NameSpencer Wolf Greaves
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1457844102
PECOS PAC ID: 6901284074
Enrollment ID: I20220601001408
Provider NameDaniel Knight
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1932124997
PECOS PAC ID: 9739178005
Enrollment ID: I20220719001874
Provider NameBenjamin John Kyung Myers
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1659861441
PECOS PAC ID: 4688925704
Enrollment ID: I20230523000625
Provider NameFarzaneh Ghobadi-ghadikolai
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1801215322
PECOS PAC ID: 7517245731
Enrollment ID: I20231005002551
Provider NameJoseph M Leon
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1912571662
PECOS PAC ID: 2365844180
Enrollment ID: I20240816000957
Provider NameKevin C Kenney
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1861014680
PECOS PAC ID: 8123441425
Enrollment ID: I20240923001030
Provider NameChristopher Dion
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912457029
PECOS PAC ID: 0840572905
Enrollment ID: I20250110002480
Provider NameNilam C Vaughan
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1366731804
PECOS PAC ID: 7315269479
Enrollment ID: I20250207001820
Provider NameSamer M Bashiti
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1770744831
PECOS PAC ID: 4385812023
Enrollment ID: I20250305003536

Reviews and Comments


Emergency Medicine in Waupaca, WI

Waupaca Wellness Center Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1336 Michigan St, Suite A, Waupaca, WI 54981
Phone: 715-258-7444    Fax: 715-258-7844
Robert L. Peterson, M.d., S.c.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 900 Riverside Dr, Suite Iii, Waupaca, WI 54981
Phone: 715-258-8898    Fax: 715-258-6980
Medexpress Primary Care Wisconsin, S.c.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: N2610 State Road 22 Ste 2, Waupaca, WI 54981
Phone: 304-225-2500    
Hoffmann Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 199 S Division St, Waupaca, WI 54981
Phone: 715-942-2154    Fax: 715-942-2156
Partnership Community Health Center, Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 825 W Fulton St, Waupaca, WI 54981
Phone: 920-731-7445    

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.