Charlotte Formeller, - Medicare Pediatrics in Milwaukee, WI

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Charlotte Formeller, is a medicare enrolled "Pediatrics" physician in Milwaukee, Wisconsin. Her current practice location is 9000 W Wisconsin Avenue, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 337-7050.

Charlotte Formeller is licensed to practice in Wisconsin (license number 76538) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487210076.

Contact Information

Charlotte Formeller,
9000 W Wisconsin Avenue,
Milwaukee, WI 53226-4874
(414) 337-7050
(414) 337-7020

Map and Direction




Physician's Profile

Full NameCharlotte Formeller
GenderFemale
SpecialityPediatrics
Location9000 W Wisconsin Avenue, Milwaukee, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487210076
  • Provider Enumeration Date: 05/20/2019
  • Last Update Date: 04/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3678956364
  • Enrollment ID: I20230519000622

Medical Identifiers

Medical identifiers for Charlotte Formeller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487210076NPI-NPPES
1487210076MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 76538 (Wisconsin)Secondary
208000000XPediatrics 76538 (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. Charlotte Formeller 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

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. Charlotte Formeller 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
Charlotte Formeller,
9000 W Wisconsin Avenue,
Milwaukee, WI 53226-4874

Ph: (414) 337-7050		Charlotte Formeller,
9000 W Wisconsin Avenue,
Milwaukee, WI 53226-4874

Ph: (414) 337-7050

Reviews and Comments


Pediatrics Doctors in Milwaukee, WI

Sarah Marie Rumler, DO
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-955-4170    Fax: 414-955-6543
Alison Coren,
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-266-6750    Fax: 414-266-6749
Brandon Palmer, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-337-7050    Fax: 414-337-7020
Aidan James Reid, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-266-6800    Fax: 414-337-7068
Dr. Swati Kumar, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 9000 W Wisconsin Ave, Pediatric Infectious Diseases, Milwaukee, WI 53226
Phone: 414-337-7070    Fax: 414-337-7093
Ms. Michelle Lynn Mitchell, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-337-7070    Fax: 414-337-7093
Noemi Prieto, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 8532 W Capitol Dr, Milwaukee, WI 53222
Phone: 414-463-2607    

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.