Ms Emily E Stoddard, MD is a medicare enrolled "Surgery" physician in Oconomowoc, Wisconsin. Her current practice location is
888 Thackeray Trl Ste 103, Oconomowoc, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 567-1499.
Ms Emily E Stoddard is licensed to practice in Wisconsin (license number 39161) 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 1457311441.
Physician's Profile
Full Name | Ms Emily E Stoddard |
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Gender | Female |
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Speciality | Surgery |
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Location | 888 Thackeray Trl Ste 103, Oconomowoc, 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: 1457311441
- Provider Enumeration Date: 03/24/2006
- Last Update Date: 11/29/2017
Medicare PECOS Information:
- PECOS PAC ID: 1254382435
- Enrollment ID: I20050204000303
Medical Identifiers
Medical identifiers for Ms Emily E Stoddard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457311441 | NPI | - | NPPES |
34417500 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0129X | Surgery - Vascular Surgery | 39161 (Wisconsin) | Secondary |
208C00000X | Colon & Rectal Surgery | 39161 (Wisconsin) | Secondary |
208600000X | Surgery | 39161 (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. Ms Emily E Stoddard allows following entities to bill medicare on her behalf.
Entity Name | Watertown Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114 |
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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. Ms Emily E Stoddard 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 |
Ms Emily E Stoddard, MD 888 Thackeray Trl Ste 103, Oconomowoc, WI 53066-4342 Ph: (262) 567-1499 | Ms Emily E Stoddard, MD 888 Thackeray Trl Ste 103, Oconomowoc, WI 53066-4342 Ph: (262) 567-1499 |
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