Ronald Pluszczynski, MD - Medicare Obstetrics/gynecology in Sturgeon Bay, WI

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Ronald Pluszczynski, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Sturgeon Bay, Wisconsin. He went to Wayne State University School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Door County Memorial Hospital and 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.

Ronald Pluszczynski is licensed to practice in Montana (license number 74443) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952303919.

Contact Information

Ronald Pluszczynski, MD
323 S 18th Ave,
Sturgeon Bay, WI 54235-1401
(920) 746-0510
Not Available

Map and Direction




Physician's Profile

Full NameRonald Pluszczynski
GenderMale
SpecialityObstetrics/gynecology
Experience38 Years
Location323 S 18th Ave, Sturgeon Bay, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ronald Pluszczynski attended and graduated from Wayne State University School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1952303919
  • Provider Enumeration Date: 06/02/2005
  • Last Update Date: 11/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6002806346
  • Enrollment ID: I20191118000486

Medical Identifiers

Medical identifiers for Ronald Pluszczynski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952303919NPI-NPPES
2696809MedicaidMI
160009590OtherMIMEDICARE RAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology RP407341 (Michigan)Secondary
207V00000XObstetrics & Gynecology 74443 (Montana)Primary
207V00000XObstetrics & Gynecology MD463673 (Pennsylvania)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Door County Medical CenterSturgeon bay, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Door County Memorial Hospital539573508867

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. Ronald Pluszczynski allows following entities to bill medicare on his behalf.
Entity NameDoor County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093743874
PECOS PAC ID: 5395735088
Enrollment ID: O20040514000588

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. Ronald Pluszczynski 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
Ronald Pluszczynski, MD
7 Boone Ln,
Dearborn, MI 48120-1011

Ph: (248) 231-0673		Ronald Pluszczynski, MD
323 S 18th Ave,
Sturgeon Bay, WI 54235-1401

Ph: (920) 746-0510

Reviews and Comments


Obstetrics & Gynecology Doctors in Sturgeon Bay, WI

Dr. Shawn W Laibly, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235
Phone: 920-746-0510    
Charles Brian Shutt, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235
Phone: 920-746-0510    
Dorene E. Dempster, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235
Phone: 920-746-0510    
Dr. Elizabeth M Gaida, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 323 S 18th Ave, Sturgeon Bay, WI 54235
Phone: 920-746-0510    

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.