Michelle Kosmalski, MD - Medicare Family Medicine in Sussex, WI

Michelle Kosmalski, MD is a medicare enrolled "Family Medicine" physician in Sussex, Wisconsin. Her current practice location is W227n6103 Sussex Rd, Sussex, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 566-8100.

Michelle Kosmalski is licensed to practice in Wisconsin (license number 65568-20) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427491992.

Contact Information

Michelle Kosmalski, MD
W227n6103 Sussex Rd,
Sussex, WI 53089
(414) 566-8100
(414) 566-8038

Map and Direction




Physician's Profile

Full NameMichelle Kosmalski
GenderFemale
SpecialityFamily Medicine
LocationW227n6103 Sussex Rd, Sussex, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427491992
  • Provider Enumeration Date: 04/15/2013
  • Last Update Date: 10/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0547555393
  • Enrollment ID: I20160818001746

Medical Identifiers

Medical identifiers for Michelle Kosmalski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427491992NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 65568 (Wisconsin)Secondary
207Q00000XFamily Medicine 65568-20 (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. Michelle Kosmalski allows following entities to bill medicare on her behalf.
Entity NameColumbia St Marys Hospital Milwaukee Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023064482
PECOS PAC ID: 5890604722
Enrollment ID: O20031105000057

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. Michelle Kosmalski 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
Michelle Kosmalski, MD
W227n6103 Sussex Rd,
Sussex, WI 53089

Ph: (414) 566-8100
Michelle Kosmalski, MD
W227n6103 Sussex Rd,
Sussex, WI 53089

Ph: (414) 566-8100

Reviews and Comments


Family Medicine Doctors in Sussex, WI

Dr. Thomas Steigerwald, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: N63w23231 Main St Unit 100, Sussex, WI 53089
Phone: 262-785-7720    
Christopher Michael Peters, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: N57w24950 N Corporate Cir, Sussex, WI 53089
Phone: 262-820-3093    
Julie N. Larsen, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: N57w24950 N Corporate Cir, Sussex, WI 53089
Phone: 262-820-3093    
Molly Elinor Storm,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: N64w25037 Prospect Cir, Sussex, WI 53089
Phone: 262-532-8680    
Elizabeth E Brownell, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: N57w24950 N Corporate Cir, Prohealth Care Medical Associates Inc, Sussex, WI 53089
Phone: 262-820-3093    Fax: 262-532-9598
Ann J Shallue, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: N57w24950 N Corporate Cir, Prohealth Care Medical Associates Inc., Sussex, WI 53089
Phone: 262-820-3093    Fax: 262-532-9598

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.