Dr Myriam Jacynthe Donovitch, MD - Medicare Family Medicine in Kenosha, WI

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Dr Myriam Jacynthe Donovitch, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Kenosha, Wisconsin. Her current practice location is 7401 104th Ave Ste 110, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 764-5595.

Dr Myriam Jacynthe Donovitch is licensed to practice in Wisconsin (license number 83968-20) 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 1093332389.

Contact Information

Dr Myriam Jacynthe Donovitch, MD
7401 104th Ave Ste 110,
Kenosha, WI 53142-7845
(262) 764-5595
Not Available

Map and Direction




Physician's Profile

Full NameDr Myriam Jacynthe Donovitch
GenderFemale
SpecialityFamily Medicine - Sports Medicine
Location7401 104th Ave Ste 110, Kenosha, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093332389
  • Provider Enumeration Date: 07/02/2020
  • Last Update Date: 11/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8224457429
  • Enrollment ID: I20230218000258

Medical Identifiers

Medical identifiers for Dr Myriam Jacynthe Donovitch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093332389NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine 83968-20 (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 Myriam Jacynthe Donovitch allows following entities to bill medicare on her behalf.
Entity NameIowa Physicians Clinic Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366425274
PECOS PAC ID: 8729992318
Enrollment ID: O20031118000363

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 Myriam Jacynthe Donovitch 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 Myriam Jacynthe Donovitch, MD
7401 104th Ave Ste 110,
Kenosha, WI 53142-7845

Ph: (262) 764-5891		Dr Myriam Jacynthe Donovitch, MD
7401 104th Ave Ste 110,
Kenosha, WI 53142-7845

Ph: (262) 764-5595

Reviews and Comments


Family Medicine Doctors in Kenosha, WI

Ali J Kilic, MD
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Phone: 262-652-3500    Fax: 262-997-0113
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Phone: 262-948-7010    Fax: 262-948-7328
Rodrigo A Mata Jr., M.D.
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Dr. Charles Santilukka, D.O.
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Priti J Patel, MD
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Practice Location: 10400 75th St, Aurora Health Care, Kenosha, WI 53142
Phone: 262-948-7000    

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.