General Acute Care Hospital In Appleton Wisconsin

NPI list of 6 general acute care hospital registered providers with a business address in Appleton, WI of which 5 are registered as organizations and 1 as individuals. An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

NPI Name Type Taxonomy Address Medicare PECOS
1407803638ASCENSION NE WISCONSIN, INC
ASCENSION NE WISCONSIN-ST ELIZABETH CAMPUS
OrganizationGeneral Acute Care Hospital1506 S ONEIDA ST
APPLETON, WI 54915
(920) 720-1464
Non-Participating ProviderNO
1497119218THEDACARE REGIONAL MEDICAL CENTER - APPLETON, INC.
APPLETON MEDICAL CENTER, INC.
OrganizationGeneral Acute Care HospitalW5282 AMY AVE
APPLETON, WI 54915
(920) 830-5900
Non-Participating ProviderNO
1528456951HALEY JOY VERKUILENIndividualGeneral Acute Care Hospital219 W CALUMET ST APT 5
APPLETON, WI 54915
(920) 851-6483
Non-Participating ProviderNO
1689038408THEDACARE REGIONAL MEDICAL CENTER, APPLETON, INC
APPLETON MEDICAL CENTER, INC.
OrganizationGeneral Acute Care Hospital2500 E CAPITOL DR
APPLETON, WI 54911
(920) 830-5900
Non-Participating ProviderNO
1801242987THEDACARE REGIONAL MEDICAL CENTER - NEENAH, INC.
THEDACARE DIAGNOSTIC IMAGING CENTER
OrganizationGeneral Acute Care Hospital5320 W MICHAELS DR
APPLETON, WI 54913
(920) 735-7650
Non-Participating ProviderNO
1902832306THEDACARE REGIONAL MEDICAL CENTER-APPLETON,INC.
APPLETON MEDICAL CENTER,INC.
OrganizationGeneral Acute Care Hospital1818 N MEADE ST
APPLETON, WI 54911
(920) 731-4101
Non-Participating ProviderNO

Medicare Participation

  • Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
  • Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
  • Opt-out providers signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so.

What is PECOS?

PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.