Dr Heather L Toth, MD - Medicare Hospitalist in Milwaukee, WI

Dr Heather L Toth, MD is a medicare enrolled "Pediatrics" physician in Milwaukee, Wisconsin. She went to University Of Wisconsin School Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Hospitalist. She is a member of the group practice The Medical College Of Wisconsin Inc and her current practice location is 9200 W Wisconsin Ave, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 337-7050.

Dr Heather L Toth is licensed to practice in Wisconsin (license number 44878) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306897061.

Contact Information

Dr Heather L Toth, MD
9200 W Wisconsin Ave,
Milwaukee, WI 53226-3522
(414) 337-7050
(414) 805-0988

Map and Direction




Physician's Profile

Full NameDr Heather L Toth
GenderFemale
SpecialityHospitalist
Experience23 Years
Location9200 W Wisconsin Ave, Milwaukee, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Heather L Toth attended and graduated from University Of Wisconsin School Of Medicine in 2001
  NPI Data:
  • NPI Number: 1306897061
  • Provider Enumeration Date: 05/15/2006
  • Last Update Date: 04/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9335186949
  • Enrollment ID: I20050414001116

Medical Identifiers

Medical identifiers for Dr Heather L Toth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306897061NPI-NPPES
1306897061MedicaidWI
007806261XOtherHUMANA
34628200MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 44878 (Wisconsin)Secondary
2080A0000XPediatrics - Adolescent Medicine 44878 (Wisconsin)Secondary
208M00000XHospitalist 44878 (Wisconsin)Secondary
208000000XPediatrics 44878 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Froedtert Memorial Lutheran HospitalMilwaukee, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Medical College Of Wisconsin Inc26683843711736

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 Heather L Toth allows following entities to bill medicare on her behalf.
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

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 Heather L Toth 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 Heather L Toth, MD
9200 W Wisconsin Ave,
Milwaukee, WI 53226-3522

Ph: (414) 337-7050
Dr Heather L Toth, MD
9200 W Wisconsin Ave,
Milwaukee, WI 53226-3522

Ph: (414) 337-7050

Reviews and Comments


Pediatrics Doctors in Milwaukee, WI

Sarah Marie Rumler, DO
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-955-4170    Fax: 414-955-6543
Alison Coren,
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-266-6750    Fax: 414-266-6749
Brandon Palmer, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-337-7050    Fax: 414-337-7020
Aidan James Reid, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-266-6800    Fax: 414-337-7068
Dr. Swati Kumar, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 9000 W Wisconsin Ave, Pediatric Infectious Diseases, Milwaukee, WI 53226
Phone: 414-337-7070    Fax: 414-337-7093
Ms. Michelle Lynn Mitchell, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226
Phone: 414-337-7070    Fax: 414-337-7093
Noemi Prieto, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 8532 W Capitol Dr, Milwaukee, WI 53222
Phone: 414-463-2607    

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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