Dr Andrea Q Taleon, MD - Medicare Pediatrics in Manitowoc, WI

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Dr Andrea Q Taleon, MD is a medicare enrolled "Pediatrics" physician in Manitowoc, Wisconsin. Her current practice location is 4303 Michigan Ave, Manitowoc, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 320-4300.

Dr Andrea Q Taleon is licensed to practice in Wisconsin (license number 43187) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629182951.

Contact Information

Dr Andrea Q Taleon, MD
4303 Michigan Ave,
Manitowoc, WI 54220-3066
(920) 320-4300
Not Available

Map and Direction




Physician's Profile

Full NameDr Andrea Q Taleon
GenderFemale
SpecialityPediatrics
Location4303 Michigan Ave, Manitowoc, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629182951
  • Provider Enumeration Date: 08/17/2006
  • Last Update Date: 07/10/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5092878082
  • Enrollment ID: I20090119000029

Medical Identifiers

Medical identifiers for Dr Andrea Q Taleon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629182951NPI-NPPES
208000000XMedicaidWI
1629182951OtherWIBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 43187 (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. Dr Andrea Q Taleon allows following entities to bill medicare on her behalf.
Entity NameState Of Wisconsin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437253648
PECOS PAC ID: 9234181751
Enrollment ID: O20050214000153

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. Dr Andrea Q Taleon 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 AddressPractice Location Address
Dr Andrea Q Taleon, MD
Po Box 2290,
Manitowoc, WI 54221-2290

Ph: (920) 320-2591		Dr Andrea Q Taleon, MD
4303 Michigan Ave,
Manitowoc, WI 54220-3066

Ph: (920) 320-4300

Reviews and Comments


Pediatrics Doctors in Manitowoc, WI

Dr. Surinder K Rajpal, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 601 Reed Ave, Manitowoc, WI 54221
Phone: 920-682-8841    Fax: 920-686-5250
Michal Chiu, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4100 Dewey St, Manitowoc, WI 54220
Phone: 920-686-5700    
Bob H Greene, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4303 Michigan Ave, Manitowoc, WI 54220
Phone: 920-320-4300    Fax: 920-684-5146

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.