MEDICARE: REFORMEDICINE, S.C.

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1972338283
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REFORMEDICINE, S.C.

Provider Business Mailing Address
First Line	:	3004 GOLF RD STE 100
Second Line	:
City	:	EAU CLAIRE
State	:	WI
Zip	:	54701-8794
Country	:	US
Telephone Number	:	715-514-2827
Fax Number	:	888-606-1323

Provider Business Practice Location Address
First Line	:	VILLAGE SHOPS AT LAKE HALLIE
Second Line	:	3026 COMMERCIAL BLVD
City	:	CHIPPEWA FALLS
State	:	WI
Zip	:	54729
Country	:	US
Telephone Number	:	715-895-6215
Fax Number	:	888-606-1323

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID JOHN USHER
Credential	:	M.D.
Telephone Number	:	715-514-2827

Provider Enumeration Date	:	09/05/2024
Last Update Date	:	05/08/2026

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