Individual provider Active NPI

Gail A Tasch, M.D.

  • Psychiatry Physician
  • Eau Claire, WI
National Provider Identifier
1316929508
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
27096 Issued in WI
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
013446100MedicaidFL
30660200MedicaidWI

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
Green means eligible to order or refer.

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME94634FLMDPsychiatry Physician
32778IAMDPsychiatry Physician
27096WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amery Regional Medical Center, Inc. CurrentSince Jan 4, 2010 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Jan 4, 2010 Accepting new patients
Amery Regional Medical Center, Inc. Current Accepting new patients
Watertown Physician Practices LLC CurrentSince Dec 16, 2018 Accepting new patients
Watertown Physician Practices LLC Current Accepting new patients
Proactive Imaging LLC PastSince May 1, 2013 Accepting new patients
Sacred Heart Hospital of the Hospital Sisters -3Rd Order of St PastSince Jan 21, 2022 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.

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

Verify at the official NPI Registry.