Mark W Faustich, MD in Appleton, WI - Medicare Obstetrics & Gynecology

Mark W Faustich, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Appleton, Wisconsin. His current practice location is 1531 S Madison St, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 730-4413.

Mark W Faustich is licensed to practice in Wisconsin (license number 27201) 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 1083608848.

Contact Information

	Mark W Faustich, MD
	1531 S Madison St, Appleton, WI 54915-1800
	(920) 730-4413
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark W Faustich
Gender	Male
Speciality	Obstetrics & Gynecology
Location	1531 S Madison St, Appleton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083608848
Provider Enumeration Date: 09/08/2005
Last Update Date: 08/30/2008

Medicare PECOS Information:

PECOS PAC ID: 8224940341
Enrollment ID: I20080326000099

Medical Identifiers

Medical identifiers for Mark W Faustich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083608848	NPI	-	NPPES
30732500	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	27201 (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. Mark W Faustich allows following entities to bill medicare on his behalf.

Entity Name	Ascension Medical Group-fox Valley Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351

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. Mark W Faustich 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
Mark W Faustich, MD 1531 S Madison St, Appleton, WI 54915-1800 Ph: (920) 730-4413	Mark W Faustich, MD 1531 S Madison St, Appleton, WI 54915-1800 Ph: (920) 730-4413

Reviews and Comments

Obstetrics & Gynecology Doctors in Appleton, WI

Christopher W Wagener, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1531 S Madison St, Appleton, WI 54915 Phone: 920-730-4413
Suzanne Swanson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: W5282 Amy Ave, Appleton, WI 54915 Phone: 920-358-1900 Fax: 920-358-1909
C Danae Steele, Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-749-4000 Fax: 920-882-6372
Deeann D B Reece, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1501 S Madison St, Appleton, WI 54915 Phone: 920-730-4435
Dr. Jeffery J Cherney, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1818 N Meade St, Appleton, WI 54911 Phone: 920-749-4000 Fax: 920-749-4015
Amanda Anne Reed, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3232 N Ballard Rd Ste 100, Appleton, WI 54911 Phone: 920-729-7105

Mark W Faustich, MD - Medicare Obstetrics & Gynecology in Appleton, WI