Dr David L Mathias, MD - Medicare Pediatrics in Wausau, WI

Dr David L Mathias, MD is a medicare enrolled "Pediatrics" physician in Wausau, Wisconsin. His current practice location is 2727 Plaza Dr, Wausau, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 847-3000.

Dr David L Mathias is licensed to practice in Wisconsin (license number 48863-020) 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 1295714723.

Contact Information

Dr David L Mathias, MD
2727 Plaza Dr,
Wausau, WI 54401-4129
(715) 847-3000
Not Available

Map and Direction




Physician's Profile

Full NameDr David L Mathias
GenderMale
SpecialityPediatrics
Location2727 Plaza Dr, Wausau, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295714723
  • Provider Enumeration Date: 01/12/2006
  • Last Update Date: 11/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1759388143
  • Enrollment ID: I20061027000095

Medical Identifiers

Medical identifiers for Dr David L Mathias such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295714723NPI-NPPES
34890700MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 43628 (Colorado)Secondary
208000000XPediatrics 01053869A (Indiana)Secondary
208000000XPediatrics 48863-020 (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 David L Mathias allows following entities to bill medicare on his behalf.
Entity NameMarshfield Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590
Entity NameMchs Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093221434
PECOS PAC ID: 5698071173
Enrollment ID: O20180208000096

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 David L Mathias 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 David L Mathias, MD
1000 N Oak Ave,
Marshfield, WI 54449-5703

Ph: (715) 387-5511
Dr David L Mathias, MD
2727 Plaza Dr,
Wausau, WI 54401-4129

Ph: (715) 847-3000

Reviews and Comments


Pediatrics Doctors in Wausau, WI

Kay B Sorenson, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1810 N 2nd St, Wausau, WI 54403
Phone: 715-848-4884    Fax: 715-845-5385
Lori L Shepherd, MD
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Practice Location: 2727 Plaza Dr, Wausau, WI 54401
Phone: 715-847-3000    
Jason J Chan, MD
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Medicare: Medicare Enrolled
Practice Location: 2720 Plaza Dr Ste 2200, Wausau, WI 54401
Phone: 715-847-2311    Fax: 715-847-2312
Mary Jo Wendling, MD
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Medicare: Medicare Enrolled
Practice Location: 2720 Plaza Dr, Suite 2200, Wausau, WI 54401
Phone: 715-847-2311    
Rebecca Padilla, MD
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Medicare: Medicare Enrolled
Practice Location: 2720 Plaza Dr Ste 2200, Wausau, WI 54401
Phone: 715-847-2311    
Dr. Carlos E Torres, M.D.
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Medicare: Medicare Enrolled
Practice Location: 2720 Plaza Dr, Suite 2200, Wausau, WI 54401
Phone: 715-847-2311    Fax: 715-847-2312

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.