Dr Gilberto Marquez Jr, MD - Medicare Internal Medicine in Milwaukee, WI

Dr Gilberto Marquez Jr, MD is a medicare enrolled "Internal Medicine" physician in Milwaukee, Wisconsin. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2003 and has 21 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Prohealth Medical Group Inc and his current practice location is 210 W Capitol Dr, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 727-6320.

Dr Gilberto Marquez Jr is licensed to practice in Wisconsin (license number 47623020) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689626731.

Contact Information

Dr Gilberto Marquez Jr, MD
210 W Capitol Dr,
Milwaukee, WI 53212-1123
(414) 727-6320
(414) 727-6329

Map and Direction




Physician's Profile

Full NameDr Gilberto Marquez Jr
GenderMale
SpecialityInternal Medicine
Experience21 Years
Location210 W Capitol Dr, Milwaukee, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Gilberto Marquez Jr attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2003
  NPI Data:
  • NPI Number: 1689626731
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 03/04/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9436161296
  • Enrollment ID: I20060615000326

Medical Identifiers

Medical identifiers for Dr Gilberto Marquez Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689626731NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 47623020 (Wisconsin)Primary
207R00000XInternal Medicine 47623 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Prohealth Home CareWaukesha, WIHome health agency
Waukesha Memorial HospitalWaukesha, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prohealth Medical Group Inc3476465188416

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 Gilberto Marquez Jr allows following entities to bill medicare on his behalf.
Entity NameProhealth Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356322440
PECOS PAC ID: 3476465188
Enrollment ID: O20031103000066

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 Gilberto Marquez Jr 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 Gilberto Marquez Jr, MD
210 W Capitol Dr,
Milwaukee, WI 53212-1123

Ph: (414) 727-6320
Dr Gilberto Marquez Jr, MD
210 W Capitol Dr,
Milwaukee, WI 53212-1123

Ph: (414) 727-6320

Reviews and Comments


Internal Medicine Doctors in Milwaukee, WI

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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).

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