Robert W Sedlacek (NPI# 1003072687, PAC ID# 3173792579) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1003072687 |
| PAC ID by PECOS | 3173792579 |
| Professional Enrollment ID | I20110801000376 |
| Full Name | Robert W Sedlacek |
| Organization Legal Name | ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN, INC |
| Address |
3430 E Main St Merrill WI 54452-9001 |
| Phone Number | 7155392350 |
| Gender | M |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 2008 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8426960022 |
| Number of Group Practice Members | 64 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521339 | MINISTRY GOOD SAMARITAN HEALTH CTR |
| 520002 | ST MICHAEL'S HOSPITAL |
| 521313 | ASCENSION SACRED HEART HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3430 E Main St, Merrill, WI 54452-9001 | 7155392350 | ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN, INC |
| 2251 N Shore Dr, Suite 100, Rhinelander, WI 54501-6710 | 7153612000 | ASCENSION SACRED HEART-ST MARY'S HOSPITALS INC |
| 900 Illinois Ave, Stevens Point, WI 54481-3114 | 7153465000 | ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN, INC |
| 401 W Mohawk Dr, Tomahawk, WI 54487-2274 | 7153612000 | ASCENSION SACRED HEART-ST MARY'S HOSPITALS INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ASCENSION MEDICAL GROUP-NORTHERN WISCONSIN, INC |
| Physicians | 54 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany J King | Nurse Practitioner | Ascension Medical Group-northern Wisconsin, Inc | 1699 Schofield Ave, Suite 300, Schofield, WI 54476-2332 |
| Jennifer L Svencer | Physician Assistant | Ascension Medical Group-northern Wisconsin, Inc | 444 E Timber Dr, Rhinelander, WI 54501-2852 |
| Debra L Baumann | Physical Therapy | Ascension Medical Group-northern Wisconsin, Inc | 1901 Westwood Ctr Blvd, Wausau, WI 54401-2892 |
| Dessia J Laxton-reinke | Nurse Practitioner | Ascension Medical Group-northern Wisconsin, Inc | 3301 Cranberry Blvd, Weston, WI 54476-5216 |
| Matthew C Hall | Infectious Disease | Ascension Medical Group-northern Wisconsin, Inc | 3301 Cranberry Blvd, Weston, WI 54476-5216 |
| Maykong C Leepalao | General Surgery | Ascension Medical Group-northern Wisconsin, Inc | 601 S Ctr Ave, Merrill, WI 54452-3404 |
| Richard E Minnihan | Emergency Medicine | Ascension Medical Group-northern Wisconsin, Inc | 3301 Cranberry Blvd, Weston, WI 54476-5216 |
| Ryley Ruzek | Physical Therapy | Ascension Medical Group-northern Wisconsin, Inc | 1901 Westwood Ctr Blvd, Wausau, WI 54401-2892 |
| Tracy A Deaton | Physician Assistant | Ascension Medical Group-northern Wisconsin, Inc | 3301 Cranberry Blvd, Weston, WI 54476-5216 |
| Rezwan Islam | Medical Oncology | Ascension Medical Group-northern Wisconsin, Inc | 601 S Ctr Ave, Merrill, WI 54452-3404 |
| Street Address |
3430 E MAIN ST |
| City | MERRILL |
| State | WI |
| Zip | 54452-9001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig Steven Zastrow | Nurse Practitioner | Ascension Sacred Heart-st Mary's Hospitals Inc | 3430 E Main St, Merrill, WI 54452-9001 |
| Melissa A Koengeter | Nurse Practitioner | Ascension Sacred Heart-st Mary's Hospitals Inc | 3430 E Main St, Merrill, WI 54452-9001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Giana Marie Backes | Chiropractic | Gress Chiropractic Clinic, LLC | 109 A S Ctr Ave, Merrill, WI 54452-1237 |
| Carri L Kennedy | Chiropractic | Gress Chiropractic Clinic, LLC | 109 A S Ctr Ave, Merrill, WI 54452-1237 |
| Matthew Marine | Chiropractic | Gress Chiropractic Clinic, LLC | 109 A S Ctr Ave, Merrill, WI 54452-1237 |
| Katherine Marie Gress Volpentesta | Chiropractic | Gress Chiropractic Clinic, LLC | 109 A S Ctr Ave, Merrill, WI 54452-1237 |
| Mark A Martello | Clinical Social Worker | Human Services Board Serving North Central Health Care Facility | 607 N Sales St, Merrill, WI 54452-1624 |
| Jeffrey Scott Winter | Chiropractic | 402 W Main St, Merrill, WI 54452-2223 | |
| Jeffrey Kirk Chism | Podiatry | 410 E 2nd St, Merrill, WI 54452-2319 | |
| Roger S Lamoreux | Optometry | 728 E 2nd St, Merrill, WI 54452-2419 | |
| Dennis A Abegglen | Chiropractic | 925 E Main St, Merrill, WI 54452-2502 | |
| Ronald J Piffl | Optometry | 1007 E 1st St, Merrill, WI 54452-2511 | |
| Find all physicians in zip 54452 | |||
| City | MERRILL |
| Zip Code | 54452 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MERRILL + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Robert W Sedlacek.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.