Dr Kristin D Bencik Boudreau, DO in Fox Point, WI

Dr Kristin D Bencik Boudreau, DO is a medicare enrolled "Pediatrics" physician in Fox Point, Wisconsin. Her current practice location is 7950 N Port Washington Rd, Fox Point, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 228-0099.

Dr Kristin D Bencik Boudreau is licensed to practice in Wisconsin (license number 43405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588660195.

Contact Information

	Dr Kristin D Bencik Boudreau, DO
	7950 N Port Washington Rd, Fox Point, WI 53217-3131
	(414) 228-0099
	(414) 540-0165

Map and Direction

Physician's Profile

Full Name	Dr Kristin D Bencik Boudreau
Gender	Female
Speciality	Pediatrics
Location	7950 N Port Washington Rd, Fox Point, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588660195
Provider Enumeration Date: 06/28/2005
Last Update Date: 09/16/2020

Medicare PECOS Information:

PECOS PAC ID: 4688601628
Enrollment ID: I20050721000587

Medical Identifiers

Medical identifiers for Dr Kristin D Bencik Boudreau such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588660195	NPI	-	NPPES
32858800	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	43405 (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 Kristin D Bencik Boudreau allows following entities to bill medicare on her behalf.

Entity Name	Children's Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790732410 PECOS PAC ID: 4981509742 Enrollment ID: O20031204000573

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 Kristin D Bencik Boudreau 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 Address	Practice Location Address
Dr Kristin D Bencik Boudreau, DO 7950 N Port Washington Rd, Milwaukee, WI 53217-3131 Ph: (414) 228-0099	Dr Kristin D Bencik Boudreau, DO 7950 N Port Washington Rd, Fox Point, WI 53217-3131 Ph: (414) 228-0099

Reviews and Comments

Pediatrics Doctors in Fox Point, WI

Rachel Ullrich Nelson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7950 N Port Washington Rd, Fox Point, WI 53217 Phone: 414-253-1194 Fax: 414-540-1065
Michelle M Linsmeier, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7950 N Port Washington Rd, Fox Point, WI 53217 Phone: 414-228-0099 Fax: 414-540-1065
Sharyl Paley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7950 N Port Washington Rd, Fox Point, WI 53217 Phone: 414-228-0099 Fax: 414-540-0165
Matthew Nersesian, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7950 N Port Washington Rd, Fox Point, WI 53217 Phone: 414-228-0099 Fax: 414-540-1065
David E Melbye, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7950 N Port Washington Rd, Fox Point, WI 53217 Phone: 414-228-0099 Fax: 414-540-1065
Michelle Hwang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7950 N Port Washington Rd, Fox Point, WI 53217 Phone: 414-253-1194 Fax: 414-540-1065

Dr Kristin D Bencik Boudreau, DO - Medicare Pediatrics in Fox Point, WI