Dr Diane M Gerlach, DO in Kenosha, WI

Dr Diane M Gerlach, DO is a medicare enrolled "Pediatrics" physician in Kenosha, Wisconsin. Her current practice location is 10400 75th St, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 948-6710.

Dr Diane M Gerlach is licensed to practice in Wisconsin (license number 37806) 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 1689789687.

Contact Information

	Dr Diane M Gerlach, DO
	10400 75th St, Kenosha, WI 53142-8323
	(262) 948-6710
	(262) 948-6780

Map and Direction

Physician's Profile

Full Name	Dr Diane M Gerlach
Gender	Female
Speciality	Pediatrics
Location	10400 75th St, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689789687
Provider Enumeration Date: 08/20/2006
Last Update Date: 10/31/2024

Medicare PECOS Information:

PECOS PAC ID: 0547438525
Enrollment ID: I20110718000537

Medical Identifiers

Medical identifiers for Dr Diane M Gerlach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689789687	NPI	-	NPPES
30082200	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	37806 (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 Diane M Gerlach allows following entities to bill medicare on her behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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 Diane M Gerlach 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
Dr Diane M Gerlach, DO Po Box 735044, Chicago, IL 60673 Ph: (800) 326-2250	Dr Diane M Gerlach, DO 10400 75th St, Kenosha, WI 53142-8323 Ph: (262) 948-6710

Reviews and Comments

Pediatrics Doctors in Kenosha, WI

Colleen Maroney Johnson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8600 75th St Ste 101, Kenosha, WI 53142 Phone: 262-652-9430 Fax: 262-652-9433
Kristen Volkman, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 8500 75th St, Suite 101, Kenosha, WI 53142 Phone: 262-653-2260
Ann Marie Sundareson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6809 122nd Ave, Kenosha, WI 53142 Phone: 262-654-8633 Fax: 262-654-5467
Theresa Cafaro, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6809 122nd Ave, Kenosha, WI 53142 Phone: 262-891-6600
Dr. Ashvini Varadhi Biswas, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-5600 Fax: 262-948-5828
Dr. Sheryn Abraham, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8600 75th St, Ste 101, Kenosha, WI 53142 Phone: 262-652-9430 Fax: 262-652-9433
Gregory W Young, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6809 122nd Ave, Kenosha, WI 53142 Phone: 262-654-8633 Fax: 262-654-5467

Dr Diane M Gerlach, DO - Medicare Pediatrics in Kenosha, WI