Mr Gary M Pusateri, MD - Medicare General Practice in Crandon, WI

Mr Gary M Pusateri, MD is a medicare enrolled "General Practice" physician in Crandon, Wisconsin. His current practice location is 3144 Vanzile Rd, Crandon, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 478-5180.

Mr Gary M Pusateri is licensed to practice in Wisconsin (license number 29938-020) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851383525.

Contact Information

Mr Gary M Pusateri, MD
3144 Vanzile Rd,
Crandon, WI 54520-8149
(715) 478-5180
Not Available



Physician's Profile

Full NameMr Gary M Pusateri
GenderMale
SpecialityGeneral Practice
Location3144 Vanzile Rd, Crandon, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851383525
  • Provider Enumeration Date: 08/18/2005
  • Last Update Date: 05/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2668408071
  • Enrollment ID: I20050715000938

Medical Identifiers

Medical identifiers for Mr Gary M Pusateri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851383525NPI-NPPES
31543400MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 29938-020 (Wisconsin)Primary

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. Mr Gary M Pusateri allows following entities to bill medicare on his behalf.
Entity NameSokaogon Chippewa Community
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033115456
PECOS PAC ID: 1759370869
Enrollment ID: O20040512000238

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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. Mr Gary M Pusateri 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
Mr Gary M Pusateri, MD
E23570 Pow Wow Trail,
Watersmeet, MI 49969

Ph: (906) 358-4588
Mr Gary M Pusateri, MD
3144 Vanzile Rd,
Crandon, WI 54520-8149

Ph: (715) 478-5180

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General Practice Doctors in Crandon, WI


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