DR. BIANCA MERCEDES ASAN BORJA M.D.
NPI 1306258728
Emergency Medicine in Marinette, WI

Active since May 21, 2014PECOS EnrolledAccepts Medicare Assignment
3100 SHORE DR, MARINETTE, WI 54143(715) 735-4200(865) 292-3015 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bianca Mercedes Asan Borja M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BIANCA MERCEDES ASAN BORJA M.D. (NPI 1306258728) is an individual emergency medicine provider in Marinette, Wisconsin, licensed in Texas (T5514) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1306258728
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. BIANCA MERCEDES ASAN BORJACredential: M.D.
Location Address3100 SHORE DRMarinette, WI 54143-4242
Mailing Address1504 Taub Loop, Emergency Center, C.o. Victoria GarzaHouston, TX 77030 · (713) 873-7045
Fax(865) 292-3015
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 21, 2014
Last NPPES UpdateMarch 12, 2024
NPPES CertifiedJanuary 29, 2024
NPI 1306258728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in TX · T5514 Licensed in WY · 66962-20
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

3100 SHORE DR, Marinette, WI 54143

Other Identifiers 1

Medicaid1306258728WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Bianca Mercedes Asan Borja M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012284755
PECOS Enrollment IDI20220524000360
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
239 services235 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
88 services87 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
84 services82 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
48 services48 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450018
Location301 University BoulevardGalveston, TX 77555 · Galveston County
Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus Santa Rosa Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450237
Location2827 Babcock RoadSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Christus Santa Rosa Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450272
Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County
Emergency services Birthing friendly

St Luke's Hospital At The Vintage

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670075
Location20171 Chasewood Park DriveHouston, TX 77070 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$17.30 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$95.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
3100 SHORE DR
MARINETTE, WI 54143
Speech-Language Pathologist
3100 SHORE DR
MARINETTE, WI 54143
Dietitian, Registered
3100 SHORE DR
MARINETTE, WI 54143
Radiology (Diagnostic Radiology)
3100 SHORE DR, RADIOLOGY DEPARTMENT
MARINETTE, WI 54143
Dietitian, Registered
3100 SHORE DR
MARINETTE, WI 54143
Family Medicine
3100 SHORE DR, NORTHREACH HEALTHCARE LLC
MARINETTE, WI 54143
Internal Medicine (Cardiovascular Disease)
3100 SHORE DR
MARINETTE, WI 54143
Internal Medicine (Hematology & Oncology)
3100 SHORE DR
MARINETTE, WI 54143

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bianca Asan Borja's NPI number?

The NPI number for Bianca Asan Borja is 1306258728. It was assigned to this individual provider in the NPPES registry on May 21, 2014.

Where is Bianca Asan Borja located?

Bianca Asan Borja practices at 3100 Shore Dr, Marinette, WI 54143. The listed phone number is (715) 735-4200.

What is Bianca Asan Borja's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Bianca Asan Borja enrolled in Medicare?

Yes. Bianca Asan Borja is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bianca Asan Borja accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Bianca Asan Borja as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Bianca Asan Borja affiliated with any hospitals?

According to CMS data, Bianca Asan Borja is affiliated with University Of Texas Medical Branch Galveston, Christus Mother Frances Hospital, Christus Santa Rosa Medical Center, Christus Santa Rosa Hospital-San Marcos and St Luke's Hospital At The Vintage.

When was this NPI record last updated?

The NPPES record for Bianca Asan Borja was last updated on March 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.