James F Split, MD is a medicare enrolled "Anesthesiology" physician in Oconto Falls, Wisconsin. His current practice location is
855 S Main St, Oconto Falls, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 846-3444.
James F Split is licensed to practice in Wisconsin (license number 58255-20) 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 1811925282.
Physician's Profile
| Full Name | James F Split |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 855 S Main St, Oconto Falls, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811925282
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 09/02/2014
Medicare PECOS Information:
- PECOS PAC ID: 3971565730
- Enrollment ID: I20081113000273
Medical Identifiers
Medical identifiers for James F Split such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811925282 | NPI | - | NPPES |
| 16186 | Other | NC | PARTNERS PROVIDER NUMBER |
| 1871958 | Other | NC | UHC PROVIDER NUMBER |
| 000000613636 | Other | IN | ANTHEM-INDIANA |
| 1326349135 | Other | WI | CMH SB NPI |
| 1851477913 | Other | WI | CMH NPI |
| 11014110 | Medicaid | WI | |
| P00732890 | Other | IN | RR MEDICARE |
| 144MR | Other | NC | BCBS PROVIDER NUMBER |
| 200944960 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 01066745A (Indiana) | Secondary |
| 207L00000X | Anesthesiology | 10904 (North Dakota) | Secondary |
| 207L00000X | Anesthesiology | 58255-20 (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. James F Split allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801928593
PECOS PAC ID: 7416851381
Enrollment ID: O20031230000336 |
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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. James F Split 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 |
|---|
James F Split, MD
855 S Main St,
Oconto Falls, WI 54154-1241
Ph: (920) 846-3444 | James F Split, MD
855 S Main St,
Oconto Falls, WI 54154-1241
Ph: (920) 846-3444 |
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