Potawatomi Health & Wellness Center

Federally Qualified Health Center (FQHC) Accepts Medicare


  
  8201 Mish Ko Swen Drive, Crandon
Wisconsin, 54520-8631

 715-478-4300    715-478-4300
Potawatomi Health & Wellness Center is a Federally Qualified Health Center (FQHC) in Crandon, Wisconsin. This pharmacy is owned and operated by Forest County Potawatomi Community. It is located at 8201 Mish Ko Swen Drive, Crandon and it's customer support contact number is 715-478-4300. The authorized person of Potawatomi Health & Wellness Center is Mr. Ned Daniels who is Tribal Chairman of the pharmacy and his contact number is 715-478-4824. Potawatomi Health & Wellness Center accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Potawatomi Health & Wellness Center is definition to come...


Pharmacy Details:
Potawatomi Health & Wellness Center type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name: Potawatomi Health & Wellness Center
Type: Federally Qualified Health Center (FQHC)
Location:8201 Mish Ko Swen Drive, Crandon,
Wisconsin, 54520-8631
Phone:715-478-4300
Fax:715-478-4300
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name: Mr. Ned Daniels
Position: Tribal Chairman
Contact Number: 715-478-4824
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 pharmacy are as mentioned below.
NPI Number: 1285741306
NPI Enumeration Date: 24 Aug, 2006
NPI Last Update On: 09 Dec, 2020

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Potawatomi Health & Wellness Center are as mentioned below.
SpecializationLicense NumberStateStatus
Federally Qualified Health Center (FQHC) WisconsinPrimary
Dietary Manager Secondary
Nutritionist Secondary
Pediatrics Secondary
Community Health Secondary
Dental Secondary
Hearing and Speech Secondary
Podiatric Secondary
Radiology Secondary
Radiology, Mammography Secondary
Clinical Medical Laboratory Secondary
Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy Secondary
Durable Medical Equipment & Medical Supplies Secondary
Eyewear Supplier (equipment, Not The Service) Secondary
Hearing Aid Equipment Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
391235059016OtherWisconsinBlue Cross Blue Shield
41752300OtherWisconsinDurable Medical Equipment
42182600OtherWisconsinAoda Clinic
32956600MedicaidWisconsin
42182600OtherWisconsinMental Health
DA0385OtherWisconsinRailroad Medicare
42182600MedicaidWisconsin
44006100OtherWisconsinPrenatal Care
44006100MedicaidWisconsin
41752300MedicaidWisconsin
Medicare Enrollment:
Potawatomi Health & Wellness Center is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
3375454689O20030908000029Forest County Potawatomi CommunityPART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)
3375454689O20040228000204Forest County Potawatomi CommunityPART B SUPPLIER - CLINIC/GROUP PRACTICE
3375454689O20101021000752Forest County Potawatomi CommunityDME SUPPLIER - PHYSICIAN - PODIATRY
Products Available:
Potawatomi Health & Wellness Center has following products available for sale under medicare.
    Products
  • Canes & Crutches
  • Nebulizer Equipment & Supplies
  • Orthoses: Off-the-shelf
  • Orthoses: Prefabricated
  • Oxygen Equipment & Supplies
  • Surgical Dressings
  • Urological Supplies
  • Business Mailing Address:
    Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
    Address: Po Box 396,
    Crandon, Wisconsin
    Zip: 54520-0396
    Phone Number: 715-478-4300
    Fax Number: 715-478-4490
    Patients can reach Potawatomi Health & Wellness Center at 8201 Mish Ko Swen Drive, Crandon, Wisconsin or can call on customer care at 715-478-4300.

    Comments/ Reviews:


    *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.

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