ABIGAIL M. MALLEK KARCH PA NPI 1073701512

Physician Assistant in Minocqua, WI

NPI 1073701512 Individual Female Years of Experience 15 Physician Assistant PECOS Enrolled Accepts Medicare Approved Payment

About ABIGAIL MALLEK KARCH

Abigail Mallek Karch is a primary care provider established in Minocqua, Wisconsin and her medical specialization is physician assistant with more than 15 years of experience. The NPI number of Abigail Mallek Karch is 1073701512 and was assigned on October 2007. The practitioner's primary taxonomy code is 363A00000X with license number 2206 (WI). The provider is registered as an individual and her NPI record was last updated 13 years ago.

A primary care provider (PCP) like Abigail M. Mallek Karch Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Abigail Mallek Karch is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Abigail Mallek Karch is registered with Medicare and accepts claims assignment, this 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 copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Marshfield Medical Center - Minocqua.

NPI

1073701512

Provider Name ABIGAIL M. MALLEK KARCH PA
Provider Location Address9601 TOWNLINE RD MINOCQUA, WI 54548
Provider Mailing Address1000 N OAK AVE MARSHFIELD, WI 54449
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2007
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-10-2007
Last Update Date08-14-2008


Primary Taxonomy

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.2206
License StateWI
Taxonomy DescriptionA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Business Address

ABIGAIL M. MALLEK KARCH PA
9601 TOWNLINE RD
MINOCQUA, WI
ZIP 54548
Phone: (715) 358-1000

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Mailing Address

ABIGAIL M. MALLEK KARCH PA
1000 N OAK AVE
MARSHFIELD, WI
ZIP 54449
Phone: (715) 387-5511



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID143300301
PECOS Enrollment IDI20071231000391
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 45Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 37Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Abigail Mallek Karch is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MARSHFIELD MEDICAL CENTER - MINOCQUA9576 HIGHWAY 70
MINOCQUA, WI 54548
(715) 358-1710Acute Care Hospitals520212

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
106172200MEDICARE PIN (08)WI
41946900MEDICAID (05)WI

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326036278 MICHAEL J FLANIGAN MD
Individual
Internal Medicine (Nephrology)9601 TOWNLINE RD
MINOCQUA, WI 54548
(715) 358-1000
1255303871 MICHAEL H. KNAUTZ M.D.
Individual
Family Medicine9601 TOWNLINE RD
MINOCQUA, WI 54548
(715) 358-1000
1629045638 MICHAEL P. MCGILL MD
Individual
Internal Medicine (Cardiovascular Disease)9601 TOWNLINE RD
MINOCQUA, WI 54548
(715) 358-1000
1407807225MS. MARY E SIKORA-PETERSEN MSE, RD, CD, CDE
Individual
Dietitian, Registered9601 TOWNLINE RD
MINOCQUA, WI 54548
(715) 358-1000
1376584987DR. MARY A FORESTER DO
Individual
Psychiatry & Neurology (Neurology)9601 TOWNLINE RD MARSHFIELD CLINIC
MINOCQUA, WI 54548
(715) 358-1000
1255369377 STEPHEN E ANICH MD
Individual
Emergency Medicine9601 TOWNLINE RD
MINOCQUA, WI 54548
(715) 358-1000
1184652224 THOMAS C GABERT MD
Individual
Internal Medicine9601 TOWNLINE RD
MINOCQUA, WI 54548
(715) 358-1000
1528097888 MICHAEL J SCHAARS MD
Individual
Emergency Medicine9601 TOWNLINE RD
MINOCQUA, WI 54548
(715) 358-1000
1154348928 JENNIFER M. DODGE PA
Individual
Physician Assistant9601 TOWNLINE RD
MINOCQUA, WI 54548
(715) 358-1000
1215954896 TIMOTHY S. PHILLIPS MD
Individual
Surgery9601 TOWNLINE RD
MINOCQUA, WI 54548
(715) 358-1000
1487677910MR. GREGORY JAMES SCOTT PAC
Individual
Physician Assistant (Surgical)9601 TOWNLINE RD
MINOCQUA, WI 54548
(715) 358-1000
1194730028 JOAN D. HAUER APNP
Individual
Nurse Practitioner9601 TOWNLINE RD
MINOCQUA, WI 54548
(715) 358-1000
1245248616MR. SCOTT FRANCIS JOSWIAK R.PH.
Individual
Pharmacist9601 TOWNLINE RD
MINOCQUA, WI 54548
(715) 358-1217
1043221385 OGHOMWEN K SULE MD
Individual
Internal Medicine9601 TOWNLINE RD
MINOCQUA, WI 54548
(715) 358-1000
1437263951MR. LAWRENCE B CALDWELL R.PH.
Individual
Pharmacist9601 TOWNLINE RD
MINOCQUA, WI 54548
(715) 358-1216
1023122561MR. BLAIN E. NYBERG R.PH.
Individual
Pharmacist9601 TOWNLINE RD
MINOCQUA, WI 54548
(715) 358-1217
1972612471 JOHN P LANGER PAC
Individual
Physician Assistant9601 TOWNLINE RD
MINOCQUA, WI 54548
(715) 358-1114
1356450480 MICHELLE P CANNEY CRNA
Individual
Nurse Anesthetist, Certified Registered9601 TOWNLINE RD
MINOCQUA, WI 54548
(715) 358-1740
1679685820 BARBARA BOYER MD
Individual
Surgery9601 TOWNLINE RD
MINOCQUA, WI 54548
(715) 358-1222
1750493904 WILLIAM F MELMS MD
Individual
Emergency Medicine9601 TOWNLINE RD
MINOCQUA, WI 54548
(715) 358-1000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.