Marc R. Durette, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

28830 Issued in WI

Practice address

1630 Chippewa Dr
Rhinelander, WI 54501-9503

Phone

(715) 365-5256

Fax

(715) 365-5258

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aspirus Medical Group, Inc.

  • Clinic/Center
  • Wausau, WI
  • NPI 1003021452
  Medicare reassignment
• Aspirus Medical Group, Inc.

  • Clinic/Center
  • Woodruff, WI
  • NPI 1073770681
  NPD
• Aspirus Medical Group, Inc.

  • Clinic/Center
  • Wausau, WI
  • NPI 1669595294
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1174628895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 N. CHIPPEWA DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545019503",
            "telephone_number": "715-365-5256",
            "fax_number": "715-365-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 CHIPPEWA DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545019503",
            "telephone_number": "715-365-5256",
            "fax_number": "715-365-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURETTE",
        "first_name": "MARC",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "28830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "250006587",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31572600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Drews Dental LLC
• Summer Drews, D.D.S.
• Patrick J Dugan
• Traci Dumpprope
• Judy Lynn Dunn, LCSW
• James R Dyreby Jr., M.D.
• Maria C Dziamski, MD
• Katherine Rose Ecker, OTR
• Gregory Dana Edwards, D.D.S.
• Sharon L Eichhorn, APNP

• Physical Medicine & Rehabilitation Physician in Rhinelander, WI
• Providers in Rhinelander, WI by specialty
• Physical Medicine & Rehabilitation Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.