Larry R Brunzlick, MD - Medicare Emergency Medicine in Medford, WI

Larry R Brunzlick, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Medford, Wisconsin. He went to University Of Alabama School Of Dentistry and graduated in 1981 and has 43 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin and his current practice location is 135 South Gibson Street, Medford, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 748-8100.

Larry R Brunzlick is licensed to practice in Wisconsin (license number 24477) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770646721.

Contact Information

Larry R Brunzlick, MD
135 South Gibson Street,
Medford, WI 54451
(715) 748-8100
(715) 748-7590



Physician's Profile

Full NameLarry R Brunzlick
GenderMale
SpecialityEmergency Medicine
Experience43 Years
Location135 South Gibson Street, Medford, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Larry R Brunzlick attended and graduated from University Of Alabama School Of Dentistry in 1981
  NPI Data:
  • NPI Number: 1770646721
  • Provider Enumeration Date: 12/19/2006
  • Last Update Date: 05/15/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4385832344
  • Enrollment ID: I20101217000680

Medical Identifiers

Medical identifiers for Larry R Brunzlick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770646721NPI-NPPES
30461100MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services 24477 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Langlade HospitalAntigo, WIHospital
Ascension Our Lady Of Victory HospitalStanley, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin155727120245

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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. Larry R Brunzlick allows following entities to bill medicare on his behalf.
Entity NameLanglade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831251040
PECOS PAC ID: 1557271202
Enrollment ID: O20040212000310

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Entity NameAspirus Stanley Hospital & Clinics Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053391730
PECOS PAC ID: 8325957095
Enrollment ID: O20140321001620

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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. Larry R Brunzlick 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
Larry R Brunzlick, MD
135 South Gibson Street,
Medford, WI 54451

Ph: (715) 748-8100
Larry R Brunzlick, MD
135 South Gibson Street,
Medford, WI 54451

Ph: (715) 748-8100

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Emergency Medicine Doctors in Medford, WI

Steven Fredrick Hansen, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 135 South Gibson, Medford, WI 54451
Phone: 715-748-8100    Fax: 715-748-7590
Ronald L Kowle, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 143 S Gibson St, Medford, WI 54451
Phone: 715-748-2121    

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