Orson Daniel Bangert, D.O.
Individual provider Active NPI Hospitalist Physician · Janesville, WI
NPI 1235455437 · NPPES record last updated Jan 12, 2015
Key facts
- NPI
- 1235455437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 61194-21 (WI)
- Practice address
- 1000 Mineral Point Ave
Janesville, WI 53548-2940 - Phone
- (608) 756-6611
- Fax
- (608) 756-6236
- NPI assigned
- Apr 13, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health System Corporation
Practice addresses (Care Compare)
1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6000
Hospital & facility affiliations
- Mercy Health System Corp
- Mercy Walworth Hospital & 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 |
|---|---|---|---|---|
| I20131023001880 | WI | Practitioner - Hospitalist |
8123253309 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61194-21 | WI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Mercy Health System Corporation | Current |
Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
Interoperability endpoints
- obangert25224@direct.mhemail.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 61194-21 | WI | |
| Hospitalist Physician | 208M00000X | 61194-21 | WI | Yes |
Addresses
Primary practice location
1000 Mineral Point Ave
Janesville, WI 53548-2940
Mailing address
1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6611
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123545537 | Other | WI | BCBSWI |
| BANGEORS | Other | WI | MERCYCARE INSURANCE |
| 123545537 | Medicaid | WI |
Other providers in Janesville, WI
- Savannah Bakken
- Rajesh Balagani
- Amanda L Ballard
- Norman Bambenek
- Madelynn J Bamford
- Amy Banker
- Patrick John Baranowski
- Naveed Bari
- Janet Barkhou
- Richard N Barney
All providers in Janesville, WI · Hospitalist 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 Jan 12, 2015. 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.