Individual provider Active NPI

Elizabeth R Bade, MD

  • Family Medicine Physician
  • Cashton, WI
National Provider Identifier
1184676207
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
47333 Issued in WI
Practice address
238 Front St
Cashton, WI 54619-2002
Phone
(608) 654-5100
NPI assigned
May 17, 2006
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 47333 WI Primary

Addresses

Primary practice location

238 Front St
Cashton, WI 54619-2002

Mailing address

PO Box 39
Cashton, WI 54619-0039
Phone (608) 654-5100

Other practice location 1

200 W North St
Norwalk, WI 54648-8287
Phone (086) 545-1006

Other identifiers 1

IdentifierTypeStateIssuer
1184676207MedicaidWI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050909000587 WI Practitioner - Family Practice 2668404666 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scenic Bluffs Health Center IncGroup PAC ID 8325098296, 19 clinicians

Practice addresses (Care Compare)

238 Front St
Cashton, WI 54619-2002
Phone (608) 654-5100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47333WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Memorial Hospital, Inc. CurrentSince Nov 25, 2013 Accepting new patients
Scenic Bluffs Health Center, Inc. CurrentSince Apr 1, 2011 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Nov 25, 2013 Accepting new patients
Tri-County Memorial Hospital, Inc. Current Accepting new patients
Scenic Bluffs Health Center, Inc CurrentSince Apr 1, 2011 Accepting new patients

Locations

200 W North St
Norwalk, WI 54648
Phone 6086545100 ext. 226

18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712

Interoperability endpoints

  • Direct secure messaging: ebade762680@direct.emplifyhealth.org
  • Direct secure messaging: elizabeth.bade@sbchc1.eclinicaldirectplus.com

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1184676207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "CASHTON",
            "state": "WI",
            "postal_code": "546190039",
            "telephone_number": "608-654-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 FRONT ST",
            "city": "CASHTON",
            "state": "WI",
            "postal_code": "546192002",
            "telephone_number": "608-654-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W North St",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "WI",
            "postal_code": "546488287",
            "country_code": "US",
            "telephone_number": "086-545-1006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADE",
        "first_name": "ELIZABETH",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "47333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184676207",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cashton, WI

Sources for this page

Verify at the official NPI Registry.