Anthony J Wampole, MD is a medicare enrolled "Pediatrics" physician in Summit, Wisconsin. His current practice location is
36500 Aurora Dr, Summit, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 434-5000.
Anthony J Wampole is licensed to practice in Wisconsin (license number 60294-20) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124306113.
Physician's Profile
Full Name | Anthony J Wampole |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 36500 Aurora Dr, Summit, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124306113
- Provider Enumeration Date: 07/26/2011
- Last Update Date: 12/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 5294967790
- Enrollment ID: I20140416000940
Medical Identifiers
Medical identifiers for Anthony J Wampole such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124306113 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 60294-20 (Wisconsin) | Secondary |
208000000X | Pediatrics | 60294-20 (Wisconsin) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Anthony J Wampole allows following entities to bill medicare on his behalf.
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Anthony J Wampole is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Anthony J Wampole, MD 36500 Aurora Dr, Summit, WI 53066-4899 Ph: () - | Anthony J Wampole, MD 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 434-5000 |
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