David P Dielentheis, MD in Sheboygan, WI - Medicare Obstetrics & Gynecology

David P Dielentheis, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Sheboygan, Wisconsin. His current practice location is 2414 Kohler Memorial Dr, Sheboygan, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 457-4461.

David P Dielentheis is licensed to practice in Wisconsin (license number 26953) 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 1447304423.

Contact Information

	David P Dielentheis, MD
	2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129
	(920) 457-4461
	Not Available

Map and Direction

Physician's Profile

Full Name	David P Dielentheis
Gender	Male
Speciality	Obstetrics & Gynecology
Location	2414 Kohler Memorial Dr, Sheboygan, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447304423
Provider Enumeration Date: 01/23/2007
Last Update Date: 12/01/2021

Medicare PECOS Information:

PECOS PAC ID: 8628264702
Enrollment ID: I20101201000813

Medical Identifiers

Medical identifiers for David P Dielentheis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447304423	NPI	-	NPPES
31397900	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	26953 (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. David P Dielentheis allows following entities to bill medicare on his behalf.

Entity Name	Lakeshore Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481

Entity Name	Obhg Wisconsin Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699273862 PECOS PAC ID: 0840551750 Enrollment ID: O20180309000278

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 P Dielentheis 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 P Dielentheis, MD 5015 Blackstock Rd, Sheboygan, WI 53083-2206 Ph: (920) 452-0729	David P Dielentheis, MD 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 Ph: (920) 457-4461

Reviews and Comments

Obstetrics & Gynecology Doctors in Sheboygan, WI

Dr. Deann Leah Harper, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Department Of Obstetrics And Gynecology, Sheboygan, WI 53081 Phone: 920-457-4461
Dr. Thomas Ries, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1467
Dr. Leslie C Abitz, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1467
Dr. Dwight L Dyksterhouse, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461 Fax: 920-459-1467
Alexandra C Glasscock, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-828-2400
Mary J Kao, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-828-2400 Fax: 920-828-2425

David P Dielentheis, MD - Medicare Obstetrics & Gynecology in Sheboygan, WI