Benjamin James Eppinger, MD - Medicare Family Practice in Milwaukee, WI

Benjamin James Eppinger, MD is a medicare enrolled "Family Medicine" physician in Milwaukee, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sixteenth Street Community Health Centers Inc and his current practice location is 1032 S Cesar E Chavez Dr, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 672-1353.

Benjamin James Eppinger is licensed to practice in Wisconsin (license number 67797) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962815860.

Contact Information

Benjamin James Eppinger, MD
1032 S Cesar E Chavez Dr,
Milwaukee, WI 53204-2203
(414) 672-1353
(414) 672-4265

Map and Direction




Physician's Profile

Full NameBenjamin James Eppinger
GenderMale
SpecialityFamily Practice
Experience10 Years
Location1032 S Cesar E Chavez Dr, Milwaukee, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Benjamin James Eppinger attended and graduated from University Of Wisconsin School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1962815860
  • Provider Enumeration Date: 06/09/2014
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8820214588
  • Enrollment ID: I20170927001830

Medical Identifiers

Medical identifiers for Benjamin James Eppinger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962815860NPI-NPPES
1962815860MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 67797 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sixteenth Street Community Health Centers Inc670987685773

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. Benjamin James Eppinger allows following entities to bill medicare on his behalf.
Entity NameColumbia St Marys Hospital Milwaukee Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023064482
PECOS PAC ID: 5890604722
Enrollment ID: O20031105000057
Entity NameSixteenth Street Community Health Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417912999
PECOS PAC ID: 6709876857
Enrollment ID: O20040512001352

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. Benjamin James Eppinger 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 AddressPractice Location Address
Benjamin James Eppinger, MD
1032 S Cesar E Chavez Dr,
Milwaukee, WI 53204-2203

Ph: (414) 672-1353
Benjamin James Eppinger, MD
1032 S Cesar E Chavez Dr,
Milwaukee, WI 53204-2203

Ph: (414) 672-1353

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.