Active NPI
Gail A Tasch, M.D.
- Psychiatry Physician
- Eau Claire, WI
National Provider Identifier
1316929508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 27096
- Practice address
- 2153 Eastridge Ctr
Eau Claire, WI 54701-3403 - Phone
- (715) 895-8558
- Fax
- (715) 895-8559
- NPI assigned
- Nov 15, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 32778 | IA | |
| Psychiatry Physician | 2084P0800X | ME94634 | FL | |
| Psychiatry Physician | 2084P0800X | 27096 | WI | Primary |
Addresses
Primary practice location
2153 Eastridge Ctr
Eau Claire, WI 54701-3403
Mailing address
2153 Eastridge Ctr
Eau Claire, WI 54701-3403
Phone (715) 895-8558
Other practice location 1
1250 Southwinds Dr
Lantana, FL 33462-1459
Phone (561) 582-5559
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013446100 | Medicaid | FL | |
| 30660200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME94634 | FL | MD | Psychiatry Physician |
| 32778 | IA | MD | Psychiatry Physician |
| 27096 | WI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Amery Regional Medical Center, Inc. | Current | Accepting new patients | |
| Watertown Physician Practices LLC | Current | Accepting new patients | |
| Watertown Physician Practices LLC | Current | Accepting new patients | |
| Proactive Imaging LLC | Past | Accepting new patients | |
| Sacred Heart Hospital of the Hospital Sisters -3Rd Order of St | Past | Accepting new patients | |
| Supportive Counseling and Therapy, LLC | Past | Accepting new patients |
Locations
265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301
123 Hospital Dr
Ste 110
Watertown, WI 53098
Phone (920) 261-0672
1507 Doctors Ct
Watertown, WI 53094
Phone (920) 261-4111
Organizations & group practices 8
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.
-
- Critical Access Hospital
- Amery, WI
- NPI 1093763518
-
- Rural Health Clinic/Center
- Turtle Lake, WI
- NPI 1538384466
-
- Rural Health Clinic/Center
- Luck, WI
- NPI 1851345268
-
- Obstetrics & Gynecology Physician
- Watertown, WI
- NPI 1225412265
-
- Family Medicine Physician
- Watertown, WI
- NPI 1770964363
-
- Durable Medical Equipment & Medical Supplies
- Eau Claire, WI
- NPI 1477932630
-
- Professional Counselor
- Eau Claire, WI
- NPI 1407106115
-
- Diagnostic Radiology Physician
- Edina, MN
- NPI 1619970910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1316929508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2153 EASTRIDGE CTR",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547013403",
"telephone_number": "715-895-8558",
"fax_number": "715-895-8559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2153 EASTRIDGE CTR",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547013403",
"telephone_number": "715-895-8558",
"fax_number": "715-895-8559"
}
],
"practiceLocations": [
{
"address_1": "1250 Southwinds Dr",
"address_purpose": "LOCATION",
"city": "Lantana",
"state": "FL",
"postal_code": "334621459",
"country_code": "US",
"telephone_number": "561-582-5559",
"fax_number": "561-439-4384",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TASCH",
"first_name": "GAIL",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IA",
"license": "32778",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME94634",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "27096",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013446100",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30660200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.