Brian Thomas Zafonte, MD, PHD - Medicare Orthopedic Surgery in Mount Pleasant, WI

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Brian Thomas Zafonte, MD, PHD is a medicare enrolled "Orthopaedic Surgery - Hand Surgery" physician in Mount Pleasant, Wisconsin. He went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 2008 and has 16 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice River Hospital Inc, Samaritan Medical Practice Pc and his current practice location is 3811 Spring St, Suite 102, Mount Pleasant, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 687-5800.

Brian Thomas Zafonte is licensed to practice in Wisconsin (license number 66347) 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 1003112947.

Contact Information

Brian Thomas Zafonte, MD, PHD
3811 Spring St, Suite 102,
Mount Pleasant, WI 53405-1667
(262) 687-5800
Not Available

Map and Direction




Physician's Profile

Full NameBrian Thomas Zafonte
GenderMale
SpecialityOrthopedic Surgery
Experience16 Years
Location3811 Spring St, Mount Pleasant, 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:
  • Brian Thomas Zafonte attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 2008
  NPI Data:
  • NPI Number: 1003112947
  • Provider Enumeration Date: 02/09/2011
  • Last Update Date: 10/10/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2769607365
  • Enrollment ID: I20220105002737

Medical Identifiers

Medical identifiers for Brian Thomas Zafonte such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003112947NPI-NPPES
201236810MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XS0106XOrthopaedic Surgery - Hand Surgery 66347 (Wisconsin)Primary
207X00000XOrthopaedic Surgery 66347 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Samaritan Home Health, IncWatertown, NYHome health agency
Samaritan Medical CenterWatertown, NYHospital
River Hospital ClinicsAlexandria bay, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
River Hospital Inc256737289931
Samaritan Medical Practice Pc569885313320

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. Brian Thomas Zafonte allows following entities to bill medicare on his behalf.
Entity NameRiver Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003814641
PECOS PAC ID: 2567372899
Enrollment ID: O20040614001352
Entity NameSamaritan Medical Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124202619
PECOS PAC ID: 5698853133
Enrollment ID: O20080423000539

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. Brian Thomas Zafonte 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
Brian Thomas Zafonte, MD, PHD
3811 Spring St, Suite 102,
Mount Pleasant, WI 53405-1667

Ph: (262) 687-5800		Brian Thomas Zafonte, MD, PHD
3811 Spring St, Suite 102,
Mount Pleasant, WI 53405-1667

Ph: (262) 687-5800

Reviews and Comments


Orthopaedic Surgery Doctors in Mount Pleasant, WI

Walter J Kim, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177
Phone: 888-720-2012    
David R Ross, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3811 Spring St, Mount Pleasant, WI 53405
Phone: 262-687-5800    

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.