Organization provider

PREMIER CARE OF WISCONSIN, LLC.

Methadone Clinic Mental Health Clinic/Center (Including Community Mental Health Center) Substance Use Disorder Rehabilitation Clinic/Center Medicare enrolled

PREMIER CARE OF WISCONSIN, LLC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1346620952, based in Fond Du Lac, WI. The organization lists 5 taxonomy classifications, with Methadone Clinic recorded as primary.

Getting there

The practice address on file is 23 W SCOTT ST, Fond Du Lac, WI 54935. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

23 W SCOTT ST, Fond Du Lac, WI 54935 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
3075 WI Community/Behavioral Health Agency

This provider holds licence 3075 issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Opioid Treatment Program (otp)
PAC ID
5799114195
Enrollment ID
O20200407000446

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Opioid Treatment Program (otp). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Methadone covers

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. NUCC Health Care Provider Taxonomy, code 261QM2800X
Ambulatory Health Care Facilities Clinic/Center Methadone

All registered taxonomy codes

This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
261QM2800X Methadone Clinic Methadone primary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Mental Health (Including Community Mental Health Center)
261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Rehabilitation, Substance Use Disorder
101YA0400X Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder)
251S00000X Community/Behavioral Health Agency 3075 WI

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1346620952 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJun 9, 2015
Last updatedFeb 10, 2024
StatusActive
Practice address 23 W SCOTT ST
Fond Du Lac, WI 54935
(920) 926-0101
Mailing address 8444 N 90TH ST STE 100
Scottsdale, AZ 85258
This record was updated on Feb 10, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1346620952 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 4 6 6 2 0 9 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 8 6 3 2 0 9 1

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1346620952?
NPI 1346620952 is the National Provider Identifier assigned to PREMIER CARE OF WISCONSIN, LLC. in Fond Du Lac, WI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Methadone cover?
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
How do I contact PREMIER CARE OF WISCONSIN, LLC.?
The phone number on file with NPPES is (920) 926-0101, last updated Feb 10, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does PREMIER CARE OF WISCONSIN, LLC. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1346620952 a valid number?
Yes. 1346620952 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.