Jeremy A Chapman, MD - Medicare Psychiatry & Neurology in Fond Du Lac, WI

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Jeremy A Chapman, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Fond Du Lac, Wisconsin. His current practice location is 430 E Division St, Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 926-4200.

Jeremy A Chapman is licensed to practice in Wisconsin (license number 67935-20) 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 1417301839.

Contact Information

Jeremy A Chapman, MD
430 E Division St,
Fond Du Lac, WI 54935-4560
(920) 926-4200
(920) 926-8933

Map and Direction




Physician's Profile

Full NameJeremy A Chapman
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location430 E Division St, Fond Du Lac, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417301839
  • Provider Enumeration Date: 04/21/2016
  • Last Update Date: 05/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3274892773
  • Enrollment ID: I20180108002518

Medical Identifiers

Medical identifiers for Jeremy A Chapman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417301839NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 67935-20 (Wisconsin)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 67935-20 (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. Jeremy A Chapman allows following entities to bill medicare on his behalf.
Entity NameAgnesian Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346228541
PECOS PAC ID: 1658289624
Enrollment ID: O20031104000263

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. Jeremy A Chapman 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
Jeremy A Chapman, MD
1808 W Beltline Hwy, Attn: Nancy Pierce-ssm Health Fdl Regional Clinic,
Madison, WI 53713-2334

Ph: (920) 926-8343		Jeremy A Chapman, MD
430 E Division St,
Fond Du Lac, WI 54935-4560

Ph: (920) 926-4200

Reviews and Comments


Psychiatry & Neurology Doctors in Fond Du Lac, WI

Michael J Keyes, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-4200    Fax: 920-926-8885
Dr. Steven A Sandstrom, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937
Phone: 920-907-7000    Fax: 920-907-7110
Jagadeeswara Rao Musunuru, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 459 E 1st St, Fond Du Lac, WI 54935
Phone: 920-929-3502    
Shelley D Piasecki, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 751 County Road K, Fond Du Lac, WI 54937
Phone: 920-929-6716    
Dr. Jennifer I Giesige, D.O
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-929-2300    
Cheryl R Tapp, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-4200    Fax: 920-926-8885
Brian C Christenson, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 430 E Division St, Fond Du Lac, WI 54935
Phone: 920-926-4200    Fax: 920-926-8885

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.