Anthony Macasaet, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

036-096087 Issued in IL

Practice address

507 S Main St
Viroqua, WI 54665-2059

Phone

(608) 637-4230

Fax

(608) 637-4214

NPI assigned

Jul 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amacasaet1206@direct.emplifyhealth.org

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.

• Vernon Memorial Healthcare, Inc

  • Rural Health Clinic/Center
  • Viroqua, WI
  • NPI 1144226507
  Medicare reassignment NPD
• Vernon Memorial Healthcare, Inc.

  • Critical Access Hospital
  • Viroqua, WI
  • NPI 1497750921
  Medicare reassignment NPD

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1316947559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S MAIN ST",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546652059",
            "telephone_number": "608-637-4230",
            "fax_number": "608-637-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S MAIN ST",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "546652059",
            "telephone_number": "608-637-4230",
            "fax_number": "608-637-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACASAET",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-096087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-096087-5",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "38712-020",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Longview Home for Boys
• Jonah Bingham King Lottig, MS RCEP
• Ash Lyke, APSW
• Brian Andrew Lyle, MD
• Rebecca Jane Lyle, CNM, FNP
• Eli Mandel, LPC-IT
• Andrew J Manspeaker, M.D.
• Melanie Martinez, CPM, LM
• Sara Elizabeth Martinez, RN
• Barbara L Mattice

• Emergency Medicine Physician in Viroqua, WI
• Providers in Viroqua, WI by specialty
• Emergency Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.

Verify at the official NPI Registry.