Gretchen E Durkin, MD - Medicare Otolaryngology in Milwaukee, WI

Gretchen E Durkin, MD is a medicare enrolled "Otolaryngology" physician in Milwaukee, Wisconsin. Her current practice location is 2350 N Lake Dr, Suite 406, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 271-4141.

Gretchen E Durkin is licensed to practice in Wisconsin (license number 24504) 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 1790900900.

Contact Information

Gretchen E Durkin, MD
2350 N Lake Dr, Suite 406,
Milwaukee, WI 53211-4528
(414) 271-4141
(414) 271-4343

Map and Direction




Physician's Profile

Full NameGretchen E Durkin
GenderFemale
SpecialityOtolaryngology
Location2350 N Lake Dr, Milwaukee, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790900900
  • Provider Enumeration Date: 04/14/2007
  • Last Update Date: 06/12/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 9032290713
  • Enrollment ID: I20080118000668

Medical Identifiers

Medical identifiers for Gretchen E Durkin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790900900NPI-NPPES
30729700MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 24504 (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. Gretchen E Durkin allows following entities to bill medicare on her behalf.
Entity NameColumbia St Marys Hospital Milwaukee Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023064482
PECOS PAC ID: 5890604722
Enrollment ID: O20031105000057

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. Gretchen E Durkin 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
Gretchen E Durkin, MD
4425 N Port Washington Rd, Attn: Csmcp Clinic Credentialing,
Glendale, WI 53212-1082

Ph: (414) 271-4141
Gretchen E Durkin, MD
2350 N Lake Dr, Suite 406,
Milwaukee, WI 53211-4528

Ph: (414) 271-4141

Reviews and Comments


Otolaryngology Doctors in Milwaukee, WI

Dr. Cecille G Sulman, MD
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Practice Location: 9000 W Wisconsin Ave, Division Of Pediatric Otolaryngology, Milwaukee, WI 53226
Phone: 414-266-6467    Fax: 414-266-2693
Dr. Michael Gorelik,
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Phone: 414-266-2982    Fax: 414-266-6989
Dr. Karl William Doerfer, MD
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Phone: 414-805-5580    Fax: 414-476-4701
Dr. William F Prudlow, MD
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Phone: 414-805-3666    
Shishir N Sheth,
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Medicare: Accepting Medicare Assignments
Practice Location: 3003 W Good Hope Rd, Milwaukee, WI 53209
Phone: 414-352-3100    Fax: 414-247-4841
S. Fredric Horwitz I, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 2350 W Villard Ave, # 207, Milwaukee, WI 53209
Phone: 414-527-9800    Fax: 414-527-9803
Dr. Michael Edward Stadler, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 9200 W Wisconsin Ave, Department Of Otolaryngology, Milwaukee, WI 53226
Phone: 414-805-5580    Fax: 414-805-8324

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.