Wisconsin Spine And Pain Sc
Durable Medical Equipment & Medical Supplies
1000 Gateway Court Suite 100, West Bend
Wisconsin, 53095-8541
920-204-6758 Wisconsin Spine And Pain Sc is a Durable Medical Equipment & Medical Supplies in West Bend, Wisconsin. It is located at 1000 Gateway Court Suite 100, West Bend and it's customer support contact number is 920-204-6758. The authorized person of Wisconsin Spine And Pain Sc is Michael Jung who is Md of this DME and his contact number is 414-455-1153. Wisconsin Spine And Pain Sc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Wisconsin Spine And Pain Sc is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Wisconsin Spine And Pain Sc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Wisconsin Spine And Pain Sc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 1000 Gateway Court Suite 100, West Bend,
Wisconsin, 53095-8541 |
| Phone: | 920-204-6758 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Michael Jung |
| Position: | Md |
| Contact Number: | 414-455-1153 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1154149367 |
| NPI Enumeration Date: | 27 Sep, 2024 |
| NPI Last Update On: | 27 Sep, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Wisconsin Spine And Pain Sc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Medicare Enrollment:
Wisconsin Spine And Pain Sc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0345665469 | O20250424002720 | Wisconsin Spine And Pain Sc | DME SUPPLIER - PHYSICIAN - INTERVENTIONAL PAIN MANAGEMENT |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dept. Ch 17057,
Palatine, Illinois |
| Zip: | 60055-7057 |
| Phone Number: | 920-204-6758 |
Patients can reach Wisconsin Spine And Pain Sc at
1000 Gateway Court Suite 100, West Bend, Wisconsin or can
call on customer care at 920-204-6758.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.