Integrated Wound Care Management Wisconsin LLC
NPI 1154963049ActiveOrganization· General Practice· Superior, WI
General Practice in Superior, Wisconsin, registered in NPPES in October 2019. The authorized official on file is Diane Lusas, MD, Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154963049 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 11, 2019 |
| Last updated in NPPES | Oct 11, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|