MEDICARE: BELLICOSE INTERNATIONAL INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	6872	WI
2	333600000X	Pharmacy	6872	WI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000086607	OTHER	WI	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	5106047	OTHER	WI	NABP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639174980
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLICOSE INTERNATIONAL INC.

Provider Business Mailing Address
First Line	:	122 W MADISON AVE
Second Line	:
City	:	GRANTSBURG
State	:	WI
Zip	:	54840-7022
Country	:	US
Telephone Number	:	715-463-2525
Fax Number	:	715-463-5343

Provider Business Practice Location Address
First Line	:	122 W MADISON AVE
Second Line	:
City	:	GRANTSBURG
State	:	WI
Zip	:	54840-7022
Country	:	US
Telephone Number	:	715-463-2525
Fax Number	:	715-463-5343

Authorized Official
Title or Position	:	VP RDO
Name	:	SELMA DZELIL
Credential	:	PHARMD
Telephone Number	:	815-715-8502

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	09/25/2023

Similar Medicare Providers

1558605550 — MR. ANIS BEN TAHAR R.PH
Practice Location Address:

122 W MADISON AVE
GRANTSBURG, WI
54840-7022

Practice Phone: 612-272-3750
Practice Fax:

1821425927 — NANCY YVETTE LONGHENRY RN
Practice Location Address:

134 W MADISON AVE
GRANTSBURG, WI
54840-7022

Practice Phone: 715-463-5004
Practice Fax: 715-463-5003

1760896732 — BARBARA EVERSON RN
Practice Location Address:

134 W MADISON AVE
GRANTSBURG, WI
54840-7022

Practice Phone: 715-463-5004
Practice Fax: 715-463-5003

1952788945 — LEAN ON ME HOME CARE
Practice Location Address:

134 W MADISON AVE
GRANTSBURG, WI
54840-7022

Practice Phone: 715-463-5004
Practice Fax:

1063877421 — RICHELLE CHRISTIANSON REGISTERED NURSE
Practice Location Address:

134 W MADISON AVE
GRANTSBURG, WI
54840-7022

Practice Phone: 715-463-5004
Practice Fax: 715-463-5003

1407365166 — DR. TAYLOR JAMES PAAP PHARMD
Practice Location Address:

122 W MADISON AVE
GRANTSBURG, WI
54840-7022

Practice Phone: 715-463-2525
Practice Fax: 715-463-5343

Directions to “BELLICOSE INTERNATIONAL INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.