Dr Mauricio Tovar, MD - Medicare Obstetrics & Gynecology in Greenfield, WI

Dr Mauricio Tovar, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Greenfield, Wisconsin. His current practice location is 4931 S 27 St. Suite 100, Greenfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 281-9533.

Dr Mauricio Tovar is licensed to practice in Wisconsin (license number 31738) 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 1427140102.

Contact Information

Dr Mauricio Tovar, MD
4931 S 27 St. Suite 100,
Greenfield, WI 53221
(414) 281-9533
(414) 281-9548

Map and Direction




Physician's Profile

Full NameDr Mauricio Tovar
GenderMale
SpecialityObstetrics & Gynecology
Location4931 S 27 St. Suite 100, Greenfield, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427140102
  • Provider Enumeration Date: 09/29/2006
  • Last Update Date: 08/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2264423839
  • Enrollment ID: I20040524000049

Medical Identifiers

Medical identifiers for Dr Mauricio Tovar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427140102NPI-NPPES
1427140102MedicaidWI
32105700MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 31738 (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 Mauricio Tovar allows following entities to bill medicare on his 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
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

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 Mauricio Tovar 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 Mauricio Tovar, MD
4931 S 27 St. Suite 100,
Greenfield, WI 53221

Ph: (414) 281-9533
Dr Mauricio Tovar, MD
4931 S 27 St. Suite 100,
Greenfield, WI 53221

Ph: (414) 281-9533

Reviews and Comments


Obstetrics & Gynecology Doctors in Greenfield, WI


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.