Tanya Kausch Hoerneman, MD
Individual provider Active NPI Family Medicine Physician · Colby, WI
NPI 1104936251 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104936251
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 47449 (WI)
- Practice address
- 111 Dehne Drive
Colby, WI 54421 - Phone
- (715) 387-5704
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Wisconsin School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital Inc
Sport and Spine Clinic LP
Practice addresses (Care Compare)
510 W Wausau St
Colby, WI 54421-9418
Phone (715) 223-1612
PO Box
Greenwood, WI 54437
Hospital & facility affiliations
- Marshfield Medical Center - Neillsville
- Marshfield Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041105000621 | WI | Practitioner - Family Practice | 0941104236 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47449 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital Inc | Current |
Accepting new patients | |
| Marshfield Clinic Inc | Current |
Accepting new patients | |
| Memorial Hospital Inc | Current |
Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients |
Locations
111 Dehne Dr
Colby, WI 54421
Phone (715) 223-2331
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
1020 Lakeshore Dr
Rice Lake, WI 54868
Phone (715) 236-8100
Interoperability endpoints
- tanya.hoerneman@marshfieldclinichealthsystem.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 47449 | WI | Yes |
Addresses
Primary practice location
111 Dehne Drive
Colby, WI 54421
Mailing address
1000 N Oak Ave
Marshfield, WI 54449-5777
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34587500 | Medicaid | WI |
Other providers in Colby, WI
- Alicia Guden
- Kelsey Marie Halopka
- Joan M. Hannula
- Healthview Eye Care Center, SC
- Jill Frances Heier
- Samantha Shade Holman
- Katie Iverson
- Ashley Kaiser
- Karla Kimlicka
- Paula Kay Kobs
All providers in Colby, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.