Daniel Jablonski, MD is a medicare enrolled "Internal Medicine" physician in Cedarburg, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Outreach Community Health Centers Inc and his current practice location is
N143w6515 Pioneer Rd, Cedarburg, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 377-6933.
Daniel Jablonski is licensed to practice in Wisconsin (license number 29048) 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 1083647002.
Physician's Profile
| Full Name | Daniel Jablonski |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 40 Years |
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| Location | N143w6515 Pioneer Rd, Cedarburg, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Daniel Jablonski attended and graduated from University Of Wisconsin School Of Medicine in 1984
NPI Data:
- NPI Number: 1083647002
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 06/12/2012
Medicare PECOS Information:
- PECOS PAC ID: 8628108461
- Enrollment ID: I20100604000923
Medical Identifiers
Medical identifiers for Daniel Jablonski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083647002 | NPI | - | NPPES |
| 31380500 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 29048 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Outreach Community Health Centers Inc | 1355247735 | 22 |
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. Daniel Jablonski allows following entities to bill medicare on his behalf.
| Entity Name | Columbia St Marys Hospital Milwaukee Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023064482
PECOS PAC ID: 5890604722
Enrollment ID: O20031105000057 |
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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. Daniel Jablonski 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 |
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Daniel Jablonski, MD
4425 N Port Washington Rd, Attn: Csmcp Clinic Credentialing,
Glendale, WI 53212-1082
Ph: (262) 377-6933 | Daniel Jablonski, MD
N143w6515 Pioneer Rd,
Cedarburg, WI 53012-2705
Ph: (262) 377-6933 |
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