Michael Gerard, MD - Medicare Family Practice in Mequon, WI

Michael Gerard, MD is a medicare enrolled "Family Medicine" physician in Mequon, Wisconsin. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Prohealth Medical Group Inc, Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc and his current practice location is 11430 N Port Washington Rd, Mequon, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 518-1900.

Michael Gerard is licensed to practice in Wisconsin (license number 48106) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598742652.

Contact Information

Michael Gerard, MD
11430 N Port Washington Rd,
Mequon, WI 53092-3414
(262) 518-1900
Not Available

Map and Direction




Physician's Profile

Full NameMichael Gerard
GenderMale
SpecialityFamily Practice
Experience28 Years
Location11430 N Port Washington Rd, Mequon, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael Gerard graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1598742652
  • Provider Enumeration Date: 12/29/2005
  • Last Update Date: 05/30/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6507897261
  • Enrollment ID: I20050823000676

Medical Identifiers

Medical identifiers for Michael Gerard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598742652NPI-NPPES
34665300MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 48106 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Waukesha Memorial HospitalWaukesha, WIHospital
Froedtert Memorial Lutheran HospitalMilwaukee, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prohealth Medical Group Inc3476465188416
Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc36787600631052

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. Michael Gerard allows following entities to bill medicare on his behalf.
Entity NameProhealth Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356322440
PECOS PAC ID: 3476465188
Enrollment ID: O20031103000066
Entity NameFroedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568787448
PECOS PAC ID: 3678760063
Enrollment ID: O20101210000699
Entity NameThousand Mile Journey Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699159962
PECOS PAC ID: 5991019937
Enrollment ID: O20150804004280

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. Michael Gerard 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
Michael Gerard, MD
11430 N Port Washington Rd,
Mequon, WI 53092-3414

Ph: (262) 518-1900
Michael Gerard, MD
11430 N Port Washington Rd,
Mequon, WI 53092-3414

Ph: (262) 518-1900

Reviews and Comments


Family Medicine Doctors in Mequon, WI

Henry J Schnitzler Jr., MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 12800 N Port Washington Rd, Mequon, WI 53097
Phone: 262-243-9600    
Krista M Dyreson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6425 W Mequon Rd, Mequon, WI 53092
Phone: 262-242-0051    
Shawn Patel, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 12203 Corporate Pkwy, Mequon, WI 53092
Phone: 262-387-8200    
Jonathan Katz, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 6425 W Mequon Rd, Mequon, WI 53092
Phone: 262-242-0051    Fax: 262-236-8780
Dr. Mark W Niedfeldt, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 10325 N Port Washington Rd Ste 150, Mequon, WI 53092
Phone: 262-643-4720    Fax: 262-643-4721
Zachary Singer,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6425 W Mequon Rd, Mequon, WI 53092
Phone: 262-242-0051    Fax: 262-236-8780
Richard Lewis, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 11649 N Port Washington Rd Ste 114, Mequon, WI 53092
Phone: 262-235-3800    Fax: 262-236-9726

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.