Dr Keith R Anclam, DO - Medicare Internal Medicine in Sturgeon Bay, WI

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Dr Keith R Anclam, DO is a medicare enrolled "Internal Medicine" physician in Sturgeon Bay, Wisconsin. His current practice location is 323 S 18th Ave, Sturgeon Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 746-0510.

Dr Keith R Anclam is licensed to practice in Wisconsin (license number 27906) 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 1487662037.

Contact Information

Dr Keith R Anclam, DO
323 S 18th Ave,
Sturgeon Bay, WI 54235-1401
(920) 746-0510
Not Available

Map and Direction




Physician's Profile

Full NameDr Keith R Anclam
GenderMale
SpecialityInternal Medicine
Location323 S 18th Ave, Sturgeon Bay, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487662037
  • Provider Enumeration Date: 08/03/2006
  • Last Update Date: 04/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9931199643
  • Enrollment ID: I20090224000289

Medical Identifiers

Medical identifiers for Dr Keith R Anclam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487662037NPI-NPPES
30027400MedicaidWI
27906OtherWI LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 27906 (Wisconsin)Secondary
207R00000XInternal Medicine 27906 (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 Keith R Anclam allows following entities to bill medicare on his behalf.
Entity NameDean Health Systems Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053358846
PECOS PAC ID: 7012827983
Enrollment ID: O20031105000584
Entity NameMarshfield Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590
Entity NameFroedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568787448
PECOS PAC ID: 3678760063
Enrollment ID: O20101210000699
Entity NameMchs Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093221434
PECOS PAC ID: 5698071173
Enrollment ID: O20180208000096
Entity NameMchs Hospitals Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1952890873
PECOS PAC ID: 5698071173
Enrollment ID: O20180904002962

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 Keith R Anclam 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 Keith R Anclam, DO
323 S 18th Ave,
Sturgeon Bay, WI 54235-1401

Ph: (920) 746-0510		Dr Keith R Anclam, DO
323 S 18th Ave,
Sturgeon Bay, WI 54235-1401

Ph: (920) 746-0510

Reviews and Comments


Internal Medicine Doctors in Sturgeon Bay, WI

Henry I Saperstein, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235
Phone: 920-746-0510    
Sarah June Keller, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235
Phone: 920-746-3501    
Christopher F Mildenberg, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235
Phone: 920-746-0510    
Kelton J Reitz, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235
Phone: 920-746-0510    
Dr. James Freeman Heise, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235
Phone: 920-743-5566    
Drake Patrick Todd, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235
Phone: 920-743-5566    
Dr. David G Conger, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1910 Alabama St, Sturgeon Bay, WI 54235
Phone: 920-746-7200    Fax: 920-746-7297

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.