Domenic J Pulito, MD in Mequon, WI - Medicare Orthopaedic Surgery

Domenic J Pulito, MD is a medicare enrolled "Orthopaedic Surgery" physician in Mequon, Wisconsin. His current practice location is 3619 W Mulberry Dr, Mequon, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 351-3500.

Domenic J Pulito is licensed to practice in Wisconsin (license number 22909) 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 1871599712.

Contact Information

	Domenic J Pulito, MD
	3619 W Mulberry Dr, Mequon, WI 53092-2752
	(414) 351-3500
	Not Available

Map and Direction

Physician's Profile

Full Name	Domenic J Pulito
Gender	Male
Speciality	Orthopaedic Surgery
Location	3619 W Mulberry Dr, Mequon, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871599712
Provider Enumeration Date: 06/24/2005
Last Update Date: 02/03/2022

Medicare PECOS Information:

PECOS PAC ID: 1456414085
Enrollment ID: I20090108000707

Medical Identifiers

Medical identifiers for Domenic J Pulito such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871599712	NPI	-	NPPES
30320600	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	22909 (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. Domenic J Pulito allows following entities to bill medicare on his behalf.

Entity Name	North Shore Orthopaedics, Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083715676 PECOS PAC ID: 3577622877 Enrollment ID: O20090108000351

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. Domenic J Pulito 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
Domenic J Pulito, MD 3619 W Mulberry Dr, Mequon, WI 53092-2752 Ph: (414) 351-3500	Domenic J Pulito, MD 3619 W Mulberry Dr, Mequon, WI 53092-2752 Ph: (414) 351-3500

Reviews and Comments

Orthopaedic Surgery Doctors in Mequon, WI

John Siegert, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 12300 N Port Washington Rd, Mequon, WI 53092 Phone: 262-243-5400 Fax: 262-243-6005
Mr. Richard K Karr, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 13133n Port Washington Road, #216, Mequon, WI 53097 Phone: 262-243-9447 Fax: 262-243-9462
Dr. Greg Peter Watchmaker, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1535 W Market St, Mequon, WI 53092 Phone: 262-241-9224 Fax: 262-241-9228
Joseph F Davies, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 12203 Corporate Pkwy, Mequon, WI 53092 Phone: 262-387-8200 Fax: 262-387-8271

Domenic J Pulito, MD - Medicare Orthopaedic Surgery in Mequon, WI