David Leroy Camenga, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Milton, Wisconsin. His current practice location is
420 E Stark Rd, Milton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(320) 630-3203.
David Leroy Camenga is licensed to practice in Minnesota (license number 31440) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1841487345.
Physician's Profile
Full Name | David Leroy Camenga |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Neurology |
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Location | 420 E Stark Rd, Milton, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841487345
- Provider Enumeration Date: 09/27/2007
- Last Update Date: 09/27/2007
Medicare PECOS Information:
- PECOS PAC ID: 4082701917
- Enrollment ID: I20071024000580
Medical Identifiers
Medical identifiers for David Leroy Camenga such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841487345 | NPI | - | NPPES |
287508000 | Medicaid | MN | |
38724800 | Medicaid | WI | |
32753000 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084N0400X | Psychiatry & Neurology - Neurology | 31440 (Minnesota) | Primary |
2084N0400X | Psychiatry & Neurology - Neurology | 31720-020 (Wisconsin) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | ME 93547 (Florida) | Secondary |
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. David Leroy Camenga allows following entities to bill medicare on his behalf.
Entity Name | Mercy Health System Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
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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. David Leroy Camenga 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 |
David Leroy Camenga, MD 420 E Stark Rd, Milton, WI 53563-8300 Ph: (320) 630-3203 | David Leroy Camenga, MD 420 E Stark Rd, Milton, WI 53563-8300 Ph: (320) 630-3203 |
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