Dr Theresa Kathryn Umhoefer, MD - Medicare Pediatrics in Mount Pleasant, WI

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Dr Theresa Kathryn Umhoefer, MD is a medicare enrolled "Pediatrics" physician in Mount Pleasant, Wisconsin. Her current practice location is 3807 Spring St, Mount Pleasant, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 687-8282.

Dr Theresa Kathryn Umhoefer is licensed to practice in Wisconsin (license number 66185) 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 1720349269.

Contact Information

Dr Theresa Kathryn Umhoefer, MD
3807 Spring St,
Mount Pleasant, WI 53405-1667
(262) 687-8282
Not Available

Map and Direction




Physician's Profile

Full NameDr Theresa Kathryn Umhoefer
GenderFemale
SpecialityPediatrics
Location3807 Spring St, Mount Pleasant, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720349269
  • Provider Enumeration Date: 05/31/2012
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8224300371
  • Enrollment ID: I20170824000200

Medical Identifiers

Medical identifiers for Dr Theresa Kathryn Umhoefer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720349269NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 66185 (Wisconsin)Primary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 66185 (Wisconsin)Secondary

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 Theresa Kathryn Umhoefer allows following entities to bill medicare on her behalf.
Entity NameAscension Medical Group-southeast Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421

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 Theresa Kathryn Umhoefer 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 Theresa Kathryn Umhoefer, MD
3807 Spring St,
Mount Pleasant, WI 53405-1667

Ph: (262) 687-8282		Dr Theresa Kathryn Umhoefer, MD
3807 Spring St,
Mount Pleasant, WI 53405-1667

Ph: (262) 687-8282

Reviews and Comments


Pediatrics Doctors in Mount Pleasant, WI

Dr. Rebecca Lindsey Lescher, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406
Phone: 262-884-4000    
Lesley Delgado, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3807 Spring St, Mount Pleasant, WI 53405
Phone: 262-687-8282    Fax: 262-687-8224
Pradeep Gopi Kumar, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406
Phone: 262-884-4000    
Jason R Friedlander, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 3805b Spring St Ste 130, Mount Pleasant, WI 53405
Phone: 262-631-8750    Fax: 262-631-8754
Dr. Nagendram Paidisetty, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3801 Spring St, Mount Pleasant, WI 53405
Phone: 262-687-4011    
Eva K Alessia, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3807 Spring St, Mount Pleasant, WI 53405
Phone: 262-687-8282    

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.

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