Dennis R Hartung, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Baldwin, WI
NPI 1124090543 · NPPES record last updated Dec 30, 2021
Key facts
- NPI
- 1124090543
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 48108 (WI)
- Practice address
- 1100 Bergslien St
Baldwin, WI 54002-2600 - Phone
- (715) 684-1111
- Fax
- (715) 684-1289
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baldwin Area Medical Center Inc
Practice addresses (Care Compare)
1100 Bergslien St
Baldwin, WI 54002-2600
Phone (715) 684-1555
Hospital & facility affiliations
- Western Wisconsin Health
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 |
|---|---|---|---|---|
| I20050928001079 | WI | Practitioner - Obstetrics/Gynecology | 5294700027 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4306 | AL | MD | Obstetrics & Gynecology Physician |
| 48108-020 | WI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baldwin Area Medical Center, Inc. | Current |
Accepting new patients | |
| Baldwin Area Medical Center, Inc. | Current | Accepting new patients | |
| Baldwin Area Medical Center Inc. | Current |
Accepting new patients | |
| Ladd Memorial Hospital | Current |
Accepting new patients | |
| Ladd Memorial Hospital | Current |
Accepting new patients | |
| Amy E Johnson-Grass | Past | Accepting new patients | |
| Fairbanks Clinic Inc | Obstetrics & Gynecology | Past |
Accepting new patients |
| Tanana Chiefs Conference | Past | Accepting new patients |
Locations
1100 Bergslien St
Baldwin, WI 54002
Phone (715) 684-1111
2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000
Interoperability endpoints
- dennis.hartung.1@28961.direct.athenahealth.com
- dhartung94523@excellian.direct.allina.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 48108-020 | WI | |
| Obstetrics & Gynecology Physician | 207V00000X | 4306 | AL | |
| Obstetrics & Gynecology Physician | 207V00000X | 47509 | MN | |
| Obstetrics & Gynecology Physician | 207V00000X | 48108 | WI | Yes |
Addresses
Primary practice location
1100 Bergslien St
Baldwin, WI 54002-2600
Mailing address
1100 Bergslien St
Baldwin, WI 54002-2600
Phone (715) 684-1111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34685300 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dhartung94523@excellian.direct.allina.com | Direct |
Other providers in Baldwin, WI
- Kathleen E Findlay
- Forge Chiropractic
- Jana Lynne Gegen
- Grace Home Respiratory Inc
- Karissa Hanson
- Heartfelt Therapy, LLC
- Lisa M. Helgeson
- Hillcrest Chiropractic LLC
- Erika Holbrook
- Hudson Physicians, S.C
All providers in Baldwin, WI · Obstetrics & Gynecology 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 Dec 30, 2021. 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.