Dr Glen Bordak, MD - Medicare Pathology in Racine, WI

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Dr Glen Bordak, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Racine, Wisconsin. His current practice location is 3801 Spring St, Racine, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 687-4100.

Dr Glen Bordak is licensed to practice in Wisconsin (license number 27568-020) 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 1588683718.

Contact Information

Dr Glen Bordak, MD
3801 Spring St,
Racine, WI 53405-1667
(262) 687-4100
Not Available

Map and Direction




Physician's Profile

Full NameDr Glen Bordak
GenderMale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location3801 Spring St, Racine, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588683718
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4486558020
  • Enrollment ID: I20031210000958

Medical Identifiers

Medical identifiers for Dr Glen Bordak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588683718NPI-NPPES
31564100MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 27568-020 (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 Glen Bordak allows following entities to bill medicare on his behalf.
Entity NameColumbia St Marys Hospital Milwaukee Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023064482
PECOS PAC ID: 5890604722
Enrollment ID: O20031105000057
Entity NameThe Medical College Of Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699720086
PECOS PAC ID: 2668384371
Enrollment ID: O20031120000259
Entity NameNorth Shore Pathologists Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184703829
PECOS PAC ID: 7113986563
Enrollment ID: O20041011000120
Entity NameLakeview Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679254700
PECOS PAC ID: 2860847100
Enrollment ID: O20231006000899

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 Glen Bordak 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 Glen Bordak, MD
1055 Prairie Dr # D,
Racine, WI 53406-3971

Ph: (262) 898-7100		Dr Glen Bordak, MD
3801 Spring St,
Racine, WI 53405-1667

Ph: (262) 687-4100

Reviews and Comments


Pathology Doctors in Racine, WI

Dr. Bradley Beggs, M.D.
Pathology
Medicare: Medicare Enrolled
Practice Location: 3801 Spring St, Racine, WI 53405
Phone: 262-898-7100    Fax: 262-898-7171
Dr. Barbara L Earnest, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 3801 Spring St, Racine, WI 53405
Phone: 262-687-4100    
Dr. Lori Allen, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 3801 Spring St, Racine, WI 53405
Phone: 262-687-6624    

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.