David Francis Bleidorn, MD
Individual provider Active NPI Internal Medicine Physician · La Crosse, WI
NPI 1801824461 · NPPES record last updated Jun 2, 2015
Key facts
- NPI
- 1801824461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 45601-020 (WI)
- Practice address
- 1836 South Ave
La Crosse, WI 54601-5429 - Phone
- (608) 782-7300
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 31
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Wisconsin School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Palmer Lutheran Health Center Inc
Gundersen Lutheran Medical Center Inc
Gundersen Clinic LTD
Practice addresses (Care Compare)
110 Jefferson St
West Union, IA 52175-1022
Phone (563) 422-3817
112 Jefferson St
West Union, IA 52175-1022
Phone (563) 422-3811
1836 S Ave
La Crosse, WI 54601-5429
Phone (608) 783-7300
1910 S Ave
La Crosse, WI 54601-5467
Phone (608) 782-7300
2575 S 7TH St
Bethany Riverside
La Crosse, WI 54601-5429
Phone (608) 775-8200
3111 Gundersen Dr
Onalaska, WI 54650-8447
Phone (608) 782-7300
Hospital & facility affiliations
- Aveanna Home Health
- Gundersen Lutheran Medical Center
- Gundersen Lutheran Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
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 |
|---|---|---|---|---|
| I20060426000308 | WI | Practitioner - Internal Medicine | 1759391493 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45601-020 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gundersen Lutheran Medical Center Inc | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center, Inc | Current |
Accepting new patients | |
| Gundersen Lutheran Medical Center Inc | Current |
Accepting new patients | |
| Gundersen Lutheran Express Care, Inc | Current |
Accepting new patients | |
| Tri-County Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Tri-County Memorial Hospital, Inc. | Current | Accepting new patients | |
| Gundersen Clinic LTD | Current |
Accepting new patients | |
| Tri-County Memorial Hospital, Inc. | Current |
Accepting new patients |
Locations
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287
1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681
18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712
Interoperability endpoints
- dbleidorn14362@direct.emplifyhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 45601-020 | WI | Yes |
Addresses
Primary practice location
1836 South Ave
La Crosse, WI 54601-5429
Mailing address
1836 South Ave
La Crosse, WI 54601-5429
Phone (608) 782-7300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34411700 | Medicaid | WI |
Other providers in La Crosse, WI
- Rebecca L Blank
- Scott B Blanke
- Kelsey Kristine Blaser
- Justin Ross Blaskowsky
- Leeann M Blaskowsky
- Stephen John Bloechl
- Gabrielle Margarete Bloemke
- Jada A Blokhuis
- Karen J. Blonsky
- Bloodmoon Industry
All providers in La Crosse, WI · Internal Medicine 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 Jun 2, 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.