Dr Thomas George, MD is a medicare enrolled "Hospitalist" physician in Fort Atkinson, Wisconsin. He graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Fort Healthcare Inc and his current practice location is
611 Sherman Ave E, Fort Atkinson, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 568-5000.
Dr Thomas George is licensed to practice in Wisconsin (license number 21653-875) 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 1922448018.
Physician's Profile
| Full Name | Dr Thomas George |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 12 Years |
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| Location | 611 Sherman Ave E, Fort Atkinson, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Thomas George graduated from medical school in 2013
NPI Data:
- NPI Number: 1922448018
- Provider Enumeration Date: 07/03/2013
- Last Update Date: 10/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 5294029666
- Enrollment ID: I20220209002359
Medical Identifiers
Medical identifiers for Dr Thomas George such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922448018 | NPI | - | NPPES |
| 125064028 | Other | IL | PHYSICIAN TEMPORARY LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | 21653-875 (Wisconsin) | Primary |
| 207R00000X | Internal Medicine | 125064028 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 036140741 (Illinois) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Fort Healthcare Inc | 0840189718 | 122 |
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 Thomas George allows following entities to bill medicare on his behalf.
| Entity Name | Fort Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417993361
PECOS PAC ID: 0840189718
Enrollment ID: O20040319001411 |
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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 Thomas George 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 Thomas George, MD
Po Box 249,
Fort Atkinson, WI 53538-0249
Ph: (920) 563-4466 | Dr Thomas George, MD
611 Sherman Ave E,
Fort Atkinson, WI 53538-1960
Ph: (920) 568-5000 |
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