Dr Gerald R Verstoppen, MD - Medicare Family Medicine in Oneida, WI

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Dr Gerald R Verstoppen, MD is a medicare enrolled "Family Medicine" physician in Oneida, Wisconsin. His current practice location is 525 Airport Dr, Oneida, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 869-2711.

Dr Gerald R Verstoppen is licensed to practice in Wisconsin (license number 25735) 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 1427046101.

Contact Information

Dr Gerald R Verstoppen, MD
525 Airport Dr,
Oneida, WI 54155-9035
(920) 869-2711
Not Available

Map and Direction




Physician's Profile

Full NameDr Gerald R Verstoppen
GenderMale
SpecialityFamily Medicine
Location525 Airport Dr, Oneida, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427046101
  • Provider Enumeration Date: 10/07/2005
  • Last Update Date: 06/07/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7618995366
  • Enrollment ID: I20051110000698

Medical Identifiers

Medical identifiers for Dr Gerald R Verstoppen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427046101NPI-NPPES
30550700MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 25735 (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 Gerald R Verstoppen allows following entities to bill medicare on his behalf.
Entity NameOneida Nation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740278308
PECOS PAC ID: 6800794074
Enrollment ID: O20031224000077

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 Gerald R Verstoppen 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 Gerald R Verstoppen, MD
Po Box 365,
Oneida, WI 54155-0365

Ph: (920) 869-2711		Dr Gerald R Verstoppen, MD
525 Airport Dr,
Oneida, WI 54155-9035

Ph: (920) 869-2711

Reviews and Comments


Family Medicine Doctors in Oneida, WI

David M Danby, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 525 Airport Dr, Oneida, WI 54155
Phone: 920-869-2711    Fax: 920-869-4979
Peri Lynne Aldrich, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1077 Sunlite Dr, Oneida, WI 54155
Phone: 920-434-9012    Fax: 920-434-9015
Jay Kelly Kennard, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 525 Airport Dr, Oneida, WI 54155
Phone: 920-869-2711    Fax: 920-869-1077

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.