Individual provider Active NPI

Marcus William Bickford, M.D.

  • Diagnostic Radiology Physician
  • La Crosse, WI
National Provider Identifier
1285070722
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
63812 Issued in WI
Practice address
1836 South Ave
La Crosse, WI 54601
Phone
(608) 775-3349
Fax
(608) 775-1548
NPI assigned
May 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 63812 WI Primary

Addresses

Primary practice location

1836 South Ave
La Crosse, WI 54601

Mailing address

1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300

Other practice location 1

N91W15750 Falls Pkwy
Menomonee Falls, WI 53051-2301
Phone (262) 532-1100

Other practice location 2

4805 S Moorland Rd
New Berlin, WI 53151-7401
Phone (262) 798-7200

Other practice location 3

11430 N Port Washington Rd
Mequon, WI 53092-3414
Phone (262) 518-1900

Other practice location 4

1701 Fond Du Lac Ave
Kewaskum, WI 53040-9129
Phone (262) 626-4616

Other practice location 5

W225N16711 Cedar Park Ct
Jackson, WI 53037-9222
Phone (262) 677-1101

Other practice location 6

110 Lone Oak Ln
Hartford, WI 53027-2600
Phone (262) 670-1800

Other practice location 7

7901 S 6th St
Oak Creek, WI 53154-2010
Phone (414) 346-8000

Other practice location 8

1905 N Calhoun Rd
Brookfield, WI 53005-5036
Phone (262) 754-8000

Other practice location 9

9200 W Wisconsin Ave
Milwaukee, WI 53226
Phone (414) 805-3750

Other practice location 10

1271 N 6th St
Milwaukee, WI 53212-3360
Phone (414) 978-9100

Other identifiers 1

IdentifierTypeStateIssuer
1285070722MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN, IA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180531001920 WI Practitioner - Diagnostic Radiology 7810125945 Reassigns benefits to 16 organizations
I20200413001317 MN Practitioner - Diagnostic Radiology 7810125945 Reassigns benefits to 2 organizations
I20230928002749 IA Practitioner - Diagnostic Radiology 7810125945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Wisconsin School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gundersen Lutheran Medical Center IncGroup PAC ID 2163331414, shared by 16 NPIs, 888 clinicians
Saint Elizabeths Hospital of Wabasha IncGroup PAC ID 5092619387, 93 clinicians
Tri-County Memorial Hospital IncGroup PAC ID 4587642418, 75 clinicians
Memorial Hospital of BoscobelGroup PAC ID 8325957673, 33 clinicians
Veterans Memorial Hospital City of Waukon IaGroup PAC ID 1355230293, shared by 6 NPIs, 40 clinicians
St Josephs Health Services IncGroup PAC ID 3971586439, 71 clinicians
Moundview Memorial Hospital and Clinics, Inc.Group PAC ID 1355250432, 50 clinicians
Vernon Memorial Healthcare IncGroup PAC ID 8325958416, 73 clinicians
Black River Health IncGroup PAC ID 3173431178, 62 clinicians

Practice addresses (Care Compare)

1122 W Hwy 61
Winona, MN 55987-1957
Phone (507) 615-0600

1200 Grant Blvd W
Wabasha, MN 55981-1042
Phone (651) 565-4531

1836 S Ave
La Crosse, WI 54601-5429
Phone (608) 783-7300

18601 Lincoln St
Whitehall, WI 54773-8605
Phone (715) 538-4361

205 Parker St
Boscobel, WI 53805-1642
Phone (608) 375-4112

40 1St St SE
Waukon, IA 52172-2022
Phone 5635683411524

400 Water Ave
Hillsboro, WI 54634-9054
Phone (608) 489-8000

402 W Lake St
Friendship, WI 53934-9699
Phone (608) 339-3331

507 S Main St
Viroqua, WI 54665-2059
Phone (608) 637-2101

711 W Adams St
Black River Falls, WI 54615-5052
Phone (715) 284-5361

711 W Adams St
Black River Falls, WI 54615-9108

Hospital & facility affiliations

  • Gundersen Lutheran Medical Center Hospital, La Crosse, WI, CCN 520087
  • St Elizabeth Medical Center Hospital, Wabasha, MN, CCN 241335
  • Veterans Memorial Hospital Hospital, Waukon, IA, CCN 161318
  • Gundersen Tri-County Hospital & Clinics Hospital, Whitehall, WI, CCN 521316
  • Gundersen Palmer Lutheran Hospital and Clinics Hospital, West Union, IA, CCN 161316

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63812WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Black River Memorial Hospital Inc CurrentSince Aug 27, 2019 Accepting new patients
Gundersen Clinic LTD CurrentSince Jul 1, 2019 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Jun 1, 2019 Accepting new patients
Prairie Du Chien Memorial Hospital Assoc Inc CurrentSince Nov 1, 2020 Accepting new patients
Black River Health Inc Current Accepting new patients
Veterans Memorial Hospital City of Waukon Ia Current Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince Jun 20, 2019 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Mar 1, 2021 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jul 1, 2018 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Dec 1, 2023 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc CurrentSince Jun 1, 2019 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Jun 25, 2019 Accepting new patients
St. Joseph'S Health Services, Inc. Current Accepting new patients
Black River Health Inc CurrentSince Aug 27, 2019 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Nov 1, 2020 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jul 1, 2019 Accepting new patients
Veterans Memorial Hospital City of Waukon Ia CurrentSince Aug 26, 2023 Accepting new patients
Tri-County Memorial Hospital, Inc. Current Accepting new patients
Memorial Hospital of Boscobel CurrentSince Jun 25, 2019 Accepting new patients
Veterans Memorial Hospital City of Waukon Ia CurrentSince Aug 26, 2023 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Jul 1, 2019 Accepting new patients
Saint Elizabeths Hospital of Wabasha Inc CurrentSince Mar 1, 2021 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Current Accepting new patients
Memorial Hospital of Boscobel CurrentSince Jun 25, 2019 Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Jul 1, 2019 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince May 1, 2018 Accepting new patients
Vernon Memorial Healthcare, Inc. CurrentSince Jul 29, 2019 Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince Jun 20, 2019 Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Jun 25, 2019 Accepting new patients
Palmer Lutheran Health Center, Inc. CurrentSince Aug 28, 2019 Accepting new patients
Tomah Memorial Hospital Inc Diagnostic Radiology CurrentSince Dec 1, 2023 Accepting new patients

Locations (25 of 30)

40 1st St SE
Waukon, IA 52172
Phone (563) 568-3411

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

1200 Grant Blvd W
Wabasha, MN 55981
Phone (651) 565-4531

1122 W Highway 61
Winona, MN 55987
Phone (507) 615-0600

610 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-4311

711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

1905 N Calhoun Rd
Brookfield, WI 53005
Phone (262) 333-0040

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

110 Lone Oak Ln
Hartford, WI 53027
Phone (262) 670-1800

W225N16711 Cedar Park Ct
Jackson, WI 53037
Phone (262) 323-9257

1701 Fond du Lac Ave
Kewaskum, WI 53040
Phone (262) 626-4616

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

N91W15750 Falls Pkwy
Menomonee Falls, WI 53051
Phone (262) 532-1100

11430 N Port Washington Rd
Mequon, WI 53092
Phone (262) 518-1900

1271 N 6th St
Milwaukee, WI 53212
Phone (414) 978-9037

4805 S Moorland Rd
New Berlin, WI 53151
Phone (262) 798-7200

7901 S 6th St
Oak Creek, WI 53154
Phone (414) 346-8000

3111 Gundersen Dr
Onalaska, WI 54650
Phone (608) 775-8100

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

610 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 326-6466

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181

Interoperability endpoints

  • Direct secure messaging: mbickford62254@direct.emplifyhealth.org

Organizations & group practices 33

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.

View all 33

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1285070722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "54601",
            "telephone_number": "608-775-3349",
            "fax_number": "608-775-1548"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N91W15750 Falls Pkwy",
            "address_purpose": "LOCATION",
            "city": "Menomonee Falls",
            "state": "WI",
            "postal_code": "530512301",
            "country_code": "US",
            "telephone_number": "262-532-1100",
            "fax_number": "262-532-1409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4805 S Moorland Rd",
            "address_purpose": "LOCATION",
            "city": "New Berlin",
            "state": "WI",
            "postal_code": "531517401",
            "country_code": "US",
            "telephone_number": "262-798-7200",
            "fax_number": "262-798-7271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11430 N Port Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530923414",
            "country_code": "US",
            "telephone_number": "262-518-1900",
            "fax_number": "262-518-5052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 Fond Du Lac Ave",
            "address_purpose": "LOCATION",
            "city": "Kewaskum",
            "state": "WI",
            "postal_code": "530409129",
            "country_code": "US",
            "telephone_number": "262-626-4616",
            "fax_number": "262-626-4072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "W225N16711 Cedar Park Ct",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "WI",
            "postal_code": "530379222",
            "country_code": "US",
            "telephone_number": "262-677-1101",
            "fax_number": "262-677-0121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Lone Oak Ln",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "WI",
            "postal_code": "530272600",
            "country_code": "US",
            "telephone_number": "262-670-1800",
            "fax_number": "262-836-1601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 S 6th St",
            "address_purpose": "LOCATION",
            "city": "Oak Creek",
            "state": "WI",
            "postal_code": "531542010",
            "country_code": "US",
            "telephone_number": "414-346-8000",
            "fax_number": "414-346-8010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1905 N Calhoun Rd",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530055036",
            "country_code": "US",
            "telephone_number": "262-754-8000",
            "fax_number": "262-780-3396",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9200 W Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "53226",
            "country_code": "US",
            "telephone_number": "414-805-3750",
            "fax_number": "414-259-9290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1271 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532123360",
            "country_code": "US",
            "telephone_number": "414-978-9100",
            "fax_number": "414-978-9131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BICKFORD",
        "first_name": "MARCUS",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-10",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "63812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285070722",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.