Brooke Elizabeth Passolt, MD - Medicare Family Practice in Milwaukee, WI

Brooke Elizabeth Passolt, MD is a medicare enrolled "Family Medicine" physician in Milwaukee, Wisconsin. She went to Medical College Of Wisconsin and graduated in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice The Medical College Of Wisconsin Inc and her current practice location is 1121 E North Ave, Columbia St Marys Family Medicine, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 267-6500.

Brooke Elizabeth Passolt is licensed to practice in Wisconsin (license number 65361-20) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669715108.

Contact Information

Brooke Elizabeth Passolt, MD
1121 E North Ave, Columbia St Marys Family Medicine,
Milwaukee, WI 53212-3515
(414) 267-6500
(414) 267-3892

Map and Direction




Physician's Profile

Full NameBrooke Elizabeth Passolt
GenderFemale
SpecialityFamily Practice
Experience11 Years
Location1121 E North Ave, Milwaukee, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brooke Elizabeth Passolt attended and graduated from Medical College Of Wisconsin in 2013
  NPI Data:
  • NPI Number: 1669715108
  • Provider Enumeration Date: 04/03/2013
  • Last Update Date: 08/25/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4082857024
  • Enrollment ID: I20160902001052

Medical Identifiers

Medical identifiers for Brooke Elizabeth Passolt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669715108NPI-NPPES
1669715108MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 65361-20 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Columbia St Mary's Hospital MilwaukeeMilwaukee, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Medical College Of Wisconsin Inc26683843711736

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. Brooke Elizabeth Passolt allows following entities to bill medicare on her behalf.
Entity NameThe Medical College Of Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259
Entity NameOutreach Community Health Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710032669
PECOS PAC ID: 1355247735
Enrollment ID: O20031208000704

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. Brooke Elizabeth Passolt 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
Brooke Elizabeth Passolt, MD
1121 E North Ave, Columbia St Marys Family Medicine,
Milwaukee, WI 53212-3515

Ph: (414) 267-6500
Brooke Elizabeth Passolt, MD
1121 E North Ave, Columbia St Marys Family Medicine,
Milwaukee, WI 53212-3515

Ph: (414) 267-6500

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.