David Rivedal, MD in Wauwatosa, WI

David Rivedal, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Wauwatosa, Wisconsin. His current practice location is 1155 N Mayfair Rd Ste T2600, Wauwatosa, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 955-1000.

David Rivedal is licensed to practice in Wisconsin (license number 68095) 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 1740643030.

Contact Information

	David Rivedal, MD
	1155 N Mayfair Rd Ste T2600, Wauwatosa, WI 53226-3464
	(414) 955-1000
	(414) 955-0183

Map and Direction

Physician's Profile

Full Name	David Rivedal
Gender	Male
Speciality	Surgery - Plastic And Reconstructive Surgery
Location	1155 N Mayfair Rd Ste T2600, Wauwatosa, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740643030
Provider Enumeration Date: 04/04/2016
Last Update Date: 08/15/2023

Medicare PECOS Information:

PECOS PAC ID: 0941564819
Enrollment ID: I20230809003132

Medical Identifiers

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

Identifier	Type	State	Issuer
1740643030	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0122X	Surgery - Plastic And Reconstructive Surgery	68095 (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 Rivedal allows following entities to bill medicare on his behalf.

Entity Name	The Medical College Of Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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. David Rivedal 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 Rivedal, MD 1155 N Mayfair Rd Ste T2600, Wauwatosa, WI 53226-3464 Ph: (414) 955-1000	David Rivedal, MD 1155 N Mayfair Rd Ste T2600, Wauwatosa, WI 53226-3464 Ph: (414) 955-1000

Reviews and Comments

Surgery Doctors in Wauwatosa, WI

Kun-tai Hsu, MD Surgery Medicare: Medicare Enrolled Practice Location: 1155 N Mayfair Rd Ste T2600, Wauwatosa, WI 53226 Phone: 414-955-4263 Fax: 414-955-6286
Dr. James Allen Vanheest, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 201 N Mayfair Rd, Suite 535, Wauwatosa, WI 53226 Phone: 414-258-5130 Fax: 414-258-5150
Dr. Jan Riecan, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2500 North Mayfair Road, Suite 410, Wauwatosa, WI 53226 Phone: 414-774-1919
Dr. James Patrick Ketterhagen, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 204 N 86th St, Wauwatosa, WI 53226 Phone: 561-319-2133 Fax: 561-634-2015
Edward B Smith, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3289 N Mayfair Rd, Wauwatosa, WI 53222 Phone: 414-771-7900 Fax: 414-607-6336
Dr. Hanadi Bu-ali, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 N Mayfair Rd, 3rd Floor, Wauwatosa, WI 53226 Phone: 414-256-1920 Fax: 414-256-1921
Nelson Agustin Rodriguez Unda, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1155 N Mayfair Rd Ste T2600, Wauwatosa, WI 53226 Phone: 414-955-1000 Fax: 414-955-0183

David Rivedal, MD - Medicare Surgery in Wauwatosa, WI