Dr Vasilisa Mironovich, MD - Medicare Family Practice in Portage, WI

Dr Vasilisa Mironovich, MD is a medicare enrolled "Family Medicine" physician in Portage, Wisconsin. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Divine Savior Healthcare Inc and her current practice location is 2817 New Pinery Rd, Portage, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 742-4131.

Dr Vasilisa Mironovich is licensed to practice in Wisconsin (license number 60837-20) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295024479.

Contact Information

Dr Vasilisa Mironovich, MD
2817 New Pinery Rd,
Portage, WI 53901-9240
(608) 742-4131
(608) 745-6393



Physician's Profile

Full NameDr Vasilisa Mironovich
GenderFemale
SpecialityFamily Practice
Experience14 Years
Location2817 New Pinery Rd, Portage, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Vasilisa Mironovich graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1295024479
  • Provider Enumeration Date: 03/28/2011
  • Last Update Date: 09/02/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 5294956157
  • Enrollment ID: I20141020000665

Medical Identifiers

Medical identifiers for Dr Vasilisa Mironovich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295024479NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 60837-20 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Divine Savior HealthcarePortage, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Divine Savior Healthcare Inc579968400777

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Vasilisa Mironovich allows following entities to bill medicare on her behalf.
Entity NameDivine Savior Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124083894
PECOS PAC ID: 5799684007
Enrollment ID: O20040225000909

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Vasilisa Mironovich is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Vasilisa Mironovich, MD
2817 New Pinery Rd,
Portage, WI 53901-9240

Ph: (608) 742-4131
Dr Vasilisa Mironovich, MD
2817 New Pinery Rd,
Portage, WI 53901-9240

Ph: (608) 742-4131

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When you get to college, and you're trying to eat well, there are so many temptations and challenges - fast foods and late-night pizza, navigating the dining halls, limited transportation to grocery stores. For most college students, this is the first time living away from home.

Study: 40% of Ontario female prisoners have history of traumatic brain injury

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Family Medicine Doctors in Portage, WI

Kelly Coker, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2817 New Pinery Rd, Portage, WI 53901
Phone: 608-745-5042    
Richard J Qualy, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2977 County Hwy Cx, Portage, WI 53901
Phone: 608-742-3004    Fax: 608-742-2399
Gerald L Krumpos, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2825 Hunters Trl, Portage, WI 53901
Phone: 608-742-7161    Fax: 608-745-3060
Dr. Jamie John Kling, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2977 County Hwy Cx, Portage, WI 53901
Phone: 608-742-3004    Fax: 608-742-2399
Dr. Sarah M Haroldson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2825 Hunters Trl, Portage, WI 53901
Phone: 608-742-7161    Fax: 608-745-3990
David D Gregory, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2825 Hunters Trl, Portage, WI 53901
Phone: 608-724-7161    Fax: 608-745-3060

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