Edgar Betancourt (NPI# 1174593875, PAC ID# 4880691898) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1174593875 |
| PAC ID by PECOS | 4880691898 |
| Professional Enrollment ID | I20100914001078 |
| Full Name | Edgar Betancourt |
| Organization Legal Name | ASPIRUS MEDFORD HOSPITAL AND CLINICS INC |
| Address |
320 E Main St Gilman WI 54433-9674 |
| Phone Number | 7154478293 |
| Gender | M |
| Graduation Year | 1996 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 5799688602 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 521324 | ASPIRUS MEDFORD HOSPITAL & CLINICS, INC |
| Address | Phone | Organization |
|---|---|---|
| 320 E Main St, Gilman, WI 54433-9674 | 7154478293 | ASPIRUS MEDFORD HOSPITAL AND CLINICS INC |
| 135 S Gibson St, Medford, WI 54451-1622 | 7157488100 | ASPIRUS MEDFORD HOSPITAL AND CLINICS INC |
| 143 S Gibson St, Medford, WI 54451-1622 | 7157488100 | ASPIRUS MEDFORD HOSPITAL AND CLINICS INC |
| Organization Legal Name | ASPIRUS MEDFORD HOSPITAL AND CLINICS INC |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey I Lucero | Nurse Practitioner | Aspirus Medford Hospital and Clinics Inc | 1011 E Spruce St, Suite 6, Abbotsford, WI 54405-9647 |
| Gregory L Werner | Physician Assistant | Aspirus Medford Hospital and Clinics Inc | 135 S Gibson St, Medford, WI 54451-1622 |
| Kelly J Witt-erickson | Clinical Social Worker | Aspirus Medford Hospital and Clinics Inc | 625 Peterson Ave, Phillips, WI 54555-1452 |
| Glenda K Way | Nurse Practitioner | Aspirus Medford Hospital and Clinics Inc | 729 Pine St, Athens, WI 54411-9305 |
| Susan J Frazier | Family Medicine | Aspirus Medford Hospital and Clinics Inc | 1511 Railroad Ave, Prentice, WI 54556-1155 |
| Angela M Guden | Certified Registered Nurse Anesthetist (crna) | Aspirus Medford Hospital and Clinics Inc | 135 S Gibson St, Medford, WI 54451-1622 |
| Nicholas J Franssen | Nurse Practitioner | Aspirus Medford Hospital and Clinics Inc | 320 E Main St, Gilman, WI 54433-9674 |
| Melissa D Belle | Nurse Practitioner | Aspirus Medford Hospital and Clinics Inc | 320 E Main St, Gilman, WI 54433-9674 |
| Douglas L Smith | Family Medicine | Aspirus Medford Hospital and Clinics Inc | 135 S Gibson St, Medford, WI 54451-1622 |
| Tiffany K Luckey | Physician Assistant | Aspirus Medford Hospital and Clinics Inc | 320 E Main St, Gilman, WI 54433-9674 |
| Street Address |
320 E MAIN ST |
| City | GILMAN |
| State | WI |
| Zip | 54433-9674 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Camille E Lang | Family Medicine | Cuyuna Regional Medical Center | 320 E Main St, Crosby, MN 56441-1645 |
| Rajesh Bhargava | Internal Medicine | Cuyuna Regional Medical Center | 320 E Main St, Crosby, MN 56441-1645 |
| Staci Roslansky | Nurse Practitioner | Cuyuna Regional Medical Center | 320 E Main St, Crosby, MN 56441-1645 |
| Nicholas J Franssen | Nurse Practitioner | Aspirus Medford Hospital and Clinics Inc | 320 E Main St, Gilman, WI 54433-9674 |
| Danielle J Munsterman | Nurse Practitioner | Cuyuna Regional Medical Center | 320 E Main St, Crosby, MN 56441-1645 |
| Melissa D Belle | Nurse Practitioner | Aspirus Medford Hospital and Clinics Inc | 320 E Main St, Gilman, WI 54433-9674 |
| Matthew L Anderson | Family Medicine | Cuyuna Regional Medical Center | 320 E Main St, Crosby, MN 56441-1645 |
| Edward Lee Rosenbaum | Family Medicine | Cuyuna Regional Medical Center | 320 E Main St, Crosby, MN 56441-1645 |
| Leah R Kippes | Anesthesiology | Cuyuna Regional Medical Center | 320 E Main St, Crosby, MN 56441-1645 |
| Robert Kenneth Westin | Family Medicine | Cuyuna Regional Medical Center | 320 E Main St, Crosby, MN 56441-1645 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany K Luckey | Physician Assistant | Aspirus Medford Hospital and Clinics Inc | 320 E Main St, Gilman, WI 54433-9674 |
| Clint Grant Semrau | General Surgery | Aspirus Medford Hospital and Clinics Inc | 320 E Main St, Gilman, WI 54433-9674 |
| Mary B Reynolds | Nurse Practitioner | Aspirus Medford Hospital and Clinics Inc | 320 E Main St, Gilman, WI 54433-9674 |
| Stephen J Vanwylen | General Surgery | Aspirus Medford Hospital and Clinics Inc | 320 E Main St, Gilman, WI 54433-9674 |
| Linda A Jerzak | Nurse Practitioner | Aspirus Medford Hospital and Clinics Inc | 320 E Main St, Gilman, WI 54433-9674 |
| Mark G Reuter | Family Medicine | Aspirus Medford Hospital and Clinics Inc | 320 E Main St, Gilman, WI 54433-9674 |
| Sammy U Rehman | Diagnostic Radiology | Aspirus Medford Hospital and Clinics Inc | 320 E Main St, Gilman, WI 54433-9674 |
| Sujatha Roberts | Obstetrics/gynecology | Aspirus Medford Hospital and Clinics Inc | 320 E Main St, Gilman, WI 54433-9674 |
| Diane M Anderson | Nurse Practitioner | Aspirus Medford Hospital and Clinics Inc | 320 E Main St, Gilman, WI 54433-9674 |
| Rachel A Dixon | Physician Assistant | Aspirus Medford Hospital and Clinics Inc | 320 E Main St, Gilman, WI 54433-9674 |
| Find all physicians in zip 54433 | |||
| City | GILMAN |
| Zip Code | 54433 |
| Specialty | PATHOLOGY |
| City + Specialty | GILMAN + PATHOLOGY |
Please comment or provide details below to improve the information on Edgar Betancourt.
| 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.