Gundersen Lutheran Medical Center Inc - Medicare Primary Care in Libertyville, IL

Gundersen Lutheran Medical Center Inc is a medicare enrolled primary clinic (Clinic/center) in Libertyville, Illinois. The current practice location for Gundersen Lutheran Medical Center Inc is 14780 Creekside Path, Libertyville, Illinois. For appointments, you can reach them via phone at (608) 782-7300. The mailing address for Gundersen Lutheran Medical Center Inc is 1910 South Ave, La Crosse, Wisconsin and phone number is (608) 782-7300.

Gundersen Lutheran Medical Center Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1144947805. 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 (608) 782-7300.

Contact Information

Gundersen Lutheran Medical Center Inc
14780 Creekside Path
Libertyville
IL 60048-1107
(608) 782-7300
Not Available

Primary Care Clinic Profile

Full NameGundersen Lutheran Medical Center Inc
SpecialityClinic/Center
Location14780 Creekside Path, Libertyville, Illinois
Authorized Official Name and PositionKari B Adank (VP)
Authorized Official Contact6087758025
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gundersen Lutheran Medical Center Inc
1910 South Ave
La Crosse
WI 54601-5467

Ph: (608) 782-7300
Gundersen Lutheran Medical Center Inc
14780 Creekside Path
Libertyville
IL 60048-1107

Ph: (608) 782-7300

NPI Details:

NPI Number1144947805
Provider Enumeration Date10/24/2022
Last Update Date10/24/2022

Medicare PECOS Information:

Medicare PECOS PAC ID2163331414
Medicare Enrollment IDO20221121000252

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Medical Identifiers

Medical identifiers for Gundersen Lutheran Medical Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144947805NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (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. Gundersen Lutheran Medical Center Inc acts as a billing entity for following providers:
Provider NameGregory E Salton
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1861502023
PECOS PAC ID: 4688561087
Enrollment ID: I20090812000816

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Provider NameChristopher W Grant
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1114212040
PECOS PAC ID: 9931409265
Enrollment ID: I20170908001565

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› Verified 2 days ago


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