Mr Kip Tyler Mentzer, MD in Port Washington, WI

Mr Kip Tyler Mentzer, MD is a medicare enrolled "Family Medicine" physician in Port Washington, Wisconsin. He went to Ohio State University College Of Medicine and graduated in 2004 and has 21 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Wheaton Franciscan Medical Group Inc and his current practice location is 115 N Sweetwater Blvd, Port Washington, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 476-6400.

Mr Kip Tyler Mentzer is licensed to practice in Wisconsin (license number 54515-20) 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 1518131374.

Contact Information

	Mr Kip Tyler Mentzer, MD
	115 N Sweetwater Blvd, Port Washington, WI 53074-2657
	(920) 476-6400
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Kip Tyler Mentzer
Gender	Male
Speciality	Family Practice
Experience	21 Years
Location	115 N Sweetwater Blvd, Port Washington, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Kip Tyler Mentzer attended and graduated from Ohio State University College Of Medicine in 2004

NPI Data:

NPI Number: 1518131374
Provider Enumeration Date: 04/14/2008
Last Update Date: 09/19/2024

Medicare PECOS Information:

PECOS PAC ID: 7113196536
Enrollment ID: I20110801000731

Medical Identifiers

Medical identifiers for Mr Kip Tyler Mentzer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518131374	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	54515-20 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension At Home	Milwaukee, WI	Home health agency
Ascension Se Wisconsin Hospital - St Joseph Campus	Milwaukee, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wheaton Franciscan Medical Group Inc	8628980943	565

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. Mr Kip Tyler Mentzer allows following entities to bill medicare on his behalf.

Entity Name	Ascension Medical Group-southeast Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421

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. Mr Kip Tyler Mentzer 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
Mr Kip Tyler Mentzer, MD 115 N Sweetwater Blvd, Port Washington, WI 53074-2657 Ph: (419) 674-6590	Mr Kip Tyler Mentzer, MD 115 N Sweetwater Blvd, Port Washington, WI 53074-2657 Ph: (920) 476-6400

Reviews and Comments

Family Medicine Doctors in Port Washington, WI

Stephanie M Maves, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1777 W Grand Ave, Port Washington, WI 53074 Phone: 262-284-3456
Ms. Brooke Marie Lund, STUDENT Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1936 Parknoll Ln, Port Washington, WI 53074 Phone: 262-323-2962
Adam E. Blackwell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Sweetwater Blvd, Port Washington, WI 53074 Phone: 920-476-6400
Michael A Martella, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Sweetwater Blvd, Port Washington Health Center, Port Washington, WI 53074 Phone: 920-476-6400 Fax: 262-725-0630
Scot A Wilfong, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1475 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-5100 Fax: 262-268-5118
Elizabeth Dzwonczyk, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1475 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-5100
John P Bonavia, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1317 W Grand Ave, Port Washington, WI 53074 Phone: 262-268-6998

Mr Kip Tyler Mentzer, MD - Medicare Family Practice in Port Washington, WI