Potawatomi Health & Wellness Center is an authorized DME supplier for medicare equipments and products.
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.
Specialization
License Number
State
Status
Federally Qualified Health Center (FQHC)
Wisconsin
Primary
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.
Identifier
Type
State
Issuer
391235059016
Other
Wisconsin
Blue Cross Blue Shield
41752300
Other
Wisconsin
Durable Medical Equipment
42182600
Other
Wisconsin
Aoda Clinic
32956600
Medicaid
Wisconsin
42182600
Other
Wisconsin
Mental Health
DA0385
Other
Wisconsin
Railroad Medicare
42182600
Medicaid
Wisconsin
44006100
Other
Wisconsin
Prenatal Care
44006100
Medicaid
Wisconsin
41752300
Medicaid
Wisconsin
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 Name
Medicare Entity Type
3375454689
O20030908000029
Forest County Potawatomi Community
PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)
3375454689
O20040228000204
Forest County Potawatomi Community
PART B SUPPLIER - CLINIC/GROUP PRACTICE
3375454689
O20101021000752
Forest County Potawatomi Community
DME 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 11 November, 2024.
Other Pharmacies in Crandon, Wisconsin
Wolf River Pharmacy Address: 600 E Pioneer St Ste 3, Crandon, WI Phone: 715-478-3369 Fax: 715-478-3945Sokaogon Chippewa Community Speciality:Clinic Pharmacy Address: 3144 Vanzile Rd, Crandon, WI Phone: 715-478-5180 Fax: 715-478-5904