Patrick M Allen, DO
Individual provider Active NPI Family Medicine Physician · Wausau, WI
NPI 1811280407 · NPPES record last updated Aug 5, 2014
Key facts
- NPI
- 1811280407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 60295 (WI)
- Practice address
- 212 Sturgeon Eddy Rd
Wausau, WI 54403-6672 - Phone
- (715) 842-0491
- NPI assigned
- May 16, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Medical Group, Inc.
Practice addresses (Care Compare)
4005 Community Ctr Dr
Weston, WI 54476-4139
Phone (715) 241-5400
Hospital & facility affiliations
- Aspirus at Home
- Compassus Home Health
- Aspirus at Home
- Aspirus Wausau Hospital
- Marshfield Medical Center - Weston
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.53 of 100
- Quality
- 77.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.08
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 |
|---|---|---|---|---|
| I20140714002105 | WI | Practitioner - Family Practice | 7315162005 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60295 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Medical Group, Inc. | Current |
Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Family Medicine | Current |
Accepting new patients |
| Aspirus Medical Group, Inc. | Current | Accepting new patients | |
| Aspirus Wausau Hospital, Inc. | Current |
Accepting new patients | |
| Aspirus Medical Group, Inc. | Current | Accepting new patients | |
| Aspirus Medical Group, Inc. | Current |
Accepting new patients | |
| Aspirus Medical Group, Inc. | Family Medicine | Past | Accepting new patients |
| Aspirus Medical Group, Inc. | Past | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
902 N 3rd St
Wausau, WI 54403
Phone (715) 841-9830
212 Sturgeon Eddy Rd
Wausau, WI 54403
Phone (715) 842-0491
333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160
4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400
1660 Sue Alan Dr
Wittenberg, WI 54499
Phone (715) 253-2110
Interoperability endpoints
- pallen53183@direct.aspirus.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 60295 | WI | Yes |
Addresses
Primary practice location
212 Sturgeon Eddy Rd
Wausau, WI 54403-6672
Mailing address
212 Sturgeon Eddy Rd
Wausau, WI 54403-6672
Phone (715) 842-0491
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60295 | Other | WI | STATE LICENSE |
Other providers in Wausau, WI
- Kay Aldrian
- Ronald Alexander
- Sydney R Alexander
- Robert John Alexejun
- All Seasons Counseling LLC
- Allied Health Chiropractic Centers
- Allied Health Chiropractic Centers of Il, LLC
- Allied Health of Wisconsin, SC
- Allyson Ende, PSYD LLC
- Jeffrey Terrence Ambord
All providers in Wausau, WI · Family 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 Aug 5, 2014. 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.