Charles J Bettag, MD
Individual provider Active NPI Internal Medicine Physician · Minocqua, WI
NPI 1881199750 · NPPES record last updated Dec 7, 2023
Key facts
- NPI
- 1881199750
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 76804-20 (WI)
- Practice address
- 9576 Highway 70
Minocqua, WI 54548-9067 - Phone
- (715) 358-1710
- Fax
- (715) 358-1715
- NPI assigned
- Mar 24, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 30
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.
MCHS Hospitals Inc
Practice addresses (Care Compare)
240 Maple St
Woodruff, WI 54568-9190
Phone (715) 356-8140
9576 Hwy 70
Minocqua, WI 54548-9067
Phone (715) 358-1710
9969 Old Hwy 70
Minocqua, WI 54548-9010
Phone (715) 356-6016
Hospital & facility affiliations
- Compassus Home Health
- Aspirus at Home
- Marshfield Medical Center - Minocqua
- Howard Young Medical Center
- Marshfield Medical Center - Weston
- Flambeau Hospital
- Marshfield Medical Center
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 |
|---|---|---|---|---|
| I20220831001201 | WI | Practitioner - Internal Medicine | 2961759287 | Reassigns benefits to 9 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76804-20 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current |
Accepting new patients | |
| Memorial Hospital Inc | Current |
Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current |
Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current |
Accepting new patients | |
| Flambeau Hospital Inc | Current |
Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current |
Accepting new patients | |
| Marshfield Clinic Inc | Current |
Accepting new patients | |
| Flambeau Hospital Inc | Current |
Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current |
Accepting new patients | |
| MCHS Hospitals Inc | Internal Medicine | Current | Accepting new patients |
| MCHS Hospitals Inc | Current |
Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Past | Accepting new patients |
Locations
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
9576 State Highway 70
Minocqua, WI 54548
Phone (715) 358-1000
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 76804-20 | WI | Yes |
Addresses
Primary practice location
9576 Highway 70
Minocqua, WI 54548-9067
Mailing address
9576 Highway 70
Minocqua, WI 54548-9067
Phone (715) 358-1710
Other providers in Minocqua, WI
- Stephen E Anich
- Ryan C. Arnold
- Gary Bailey
- Brooke Elizabeth Bartholomew
- Jonathan R. Berry
- Tara L Beuscher
- David Anthony Blair
- Suzanne Blimling
- Natalie Ann Blue
- Nicholas A Bodmer
All providers in Minocqua, 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 Dec 7, 2023. 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.