Grant Eckelkamp, DO in Milwaukee, WI - Medicare Student in an Organized Health Care Education/Training Program

Grant Eckelkamp, DO - Medicare Student in an Organized Health Care Education/Training Program in Milwaukee, WI

Grant Eckelkamp, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Milwaukee, Wisconsin. His current practice location is 8701 Watertown Plank Rd, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 805-3000.

Grant Eckelkamp is licensed to practice in * (Not Available) (license number ) 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 1891499513.

Contact Information

	Grant Eckelkamp, DO
	8701 Watertown Plank Rd, Milwaukee, WI 53226-3548
	(414) 805-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Grant Eckelkamp
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	8701 Watertown Plank Rd, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891499513
Provider Enumeration Date: 03/28/2023
Last Update Date: 09/04/2024

Medicare PECOS Information:

PECOS PAC ID: 3870957764
Enrollment ID: I20230911003501

Medical Identifiers

Medical identifiers for Grant Eckelkamp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891499513	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208100000X	Physical Medicine & Rehabilitation	125.084684 (Illinois)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Primary

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. Grant Eckelkamp 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
Grant Eckelkamp, DO 26w171 Roosevelt Rd, Wheaton, IL 60187-6002 Ph: (630) 909-8000	Grant Eckelkamp, DO 8701 Watertown Plank Rd, Milwaukee, WI 53226-3548 Ph: (414) 805-3000