Dr Kenneth Urlakis Jr, MD, PHD is a medicare enrolled "Family Medicine" physician in Colgate, Wisconsin. His current practice location is
631 Violet Ct, Colgate, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 388-6217.
Dr Kenneth Urlakis Jr is licensed to practice in Wisconsin (license number 37072-20) 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 1265407316.
Physician's Profile
Full Name | Dr Kenneth Urlakis Jr |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 631 Violet Ct, Colgate, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1265407316
- Provider Enumeration Date: 02/22/2006
- Last Update Date: 12/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 1153233895
- Enrollment ID: I20100205000657
Medical Identifiers
Medical identifiers for Dr Kenneth Urlakis Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265407316 | NPI | - | NPPES |
32309000 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 37072 (Wisconsin) | Secondary |
207Q00000X | Family Medicine | 37072-20 (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. Dr Kenneth Urlakis Jr allows following entities to bill medicare on his behalf.
Entity Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
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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. Dr Kenneth Urlakis Jr 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 |
Dr Kenneth Urlakis Jr, MD, PHD 631 Violet Ct, Colgate, WI 53017-9319 Ph: (262) 388-6217 | Dr Kenneth Urlakis Jr, MD, PHD 631 Violet Ct, Colgate, WI 53017-9319 Ph: (262) 388-6217 |
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