Joshua D Phillips, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Union Grove, Wisconsin. His current practice location is
21425 Spring St, Union Grove, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 878-2411.
Joshua D Phillips is licensed to practice in Wisconsin (license number 53047-020) 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 1023139805.
Physician's Profile
| Full Name | Joshua D Phillips |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 21425 Spring St, Union Grove, 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: 1023139805
- Provider Enumeration Date: 04/02/2007
- Last Update Date: 06/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 6507945748
- Enrollment ID: I20090714000269
Medical Identifiers
Medical identifiers for Joshua D Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023139805 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 53047-20 (Wisconsin) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 53047-020 (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. Joshua D Phillips allows following entities to bill medicare on his behalf.
| Entity Name | Columbia St Marys Hospital Milwaukee Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023064482
PECOS PAC ID: 5890604722
Enrollment ID: O20031105000057 |
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| Entity Name | State Of Wisconsin |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437253648
PECOS PAC ID: 9234181751
Enrollment ID: O20050214000153 |
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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. Joshua D Phillips 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 |
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Joshua D Phillips, MD
N1025 Hillside Rd,
Lake Geneva, WI 53147-4235
Ph: (262) 374-7404 | Joshua D Phillips, MD
21425 Spring St,
Union Grove, WI 53182-9707
Ph: (262) 878-2411 |
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