Paul O'neill, MD - Medicare Pediatric Medicine in Waukesha, WI

Paul O'neill, MD is a medicare enrolled "Internal Medicine" physician in Waukesha, Wisconsin. He went to Wayne State University School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Prohealth Medical Group Inc and his current practice location is N14w23900 Stone Ridge Dr, Prohealth Care Medical Assoicates Inc., Waukesha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 549-3030.

Paul O'neill is licensed to practice in Wisconsin (license number 33540) 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 1821062225.

Contact Information

Paul O'neill, MD
N14w23900 Stone Ridge Dr, Prohealth Care Medical Assoicates Inc.,
Waukesha, WI 53188-1135
(262) 549-3030
Not Available

Map and Direction




Physician's Profile

Full NamePaul O'neill
GenderMale
SpecialityPediatric Medicine
Experience36 Years
LocationN14w23900 Stone Ridge Dr, Waukesha, 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:
  • Paul O'neill attended and graduated from Wayne State University School Of Medicine in 1988
  NPI Data:
  • NPI Number: 1821062225
  • Provider Enumeration Date: 02/14/2006
  • Last Update Date: 04/24/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8022920685
  • Enrollment ID: I20100215000752

Medical Identifiers

Medical identifiers for Paul O'neill such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821062225NPI-NPPES
31842000MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 33540 (Wisconsin)Primary
208000000XPediatrics 33540 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Prohealth Home CareWaukesha, WIHome health agency
Prohealth Home HospiceWaukesha, WIHospice
Waukesha Memorial HospitalWaukesha, WIHospital
Oconomowoc Memorial HospitalOconomowoc, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prohealth Medical Group Inc3476465188416

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. Paul O'neill 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

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. Paul O'neill 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
Paul O'neill, MD
N14w23900 Stone Ridge Dr, Prohealth Care Medical Assoicates Inc.,
Waukesha, WI 53188-1135

Ph: (262) 549-3030
Paul O'neill, MD
N14w23900 Stone Ridge Dr, Prohealth Care Medical Assoicates Inc.,
Waukesha, WI 53188-1135

Ph: (262) 549-3030

Reviews and Comments


Internal Medicine Doctors in Waukesha, WI

Dr. Mark R Carey, MD
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Dr. John T. Fish Iii, M.D.
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Dr. Ashish Verma, M.D.
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Phone: 262-928-8610    Fax: 262-928-8615
Dr. Richard B Leech, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 721 American Ave, Suite 403, Waukesha, WI 53188
Phone: 262-549-1516    Fax: 262-549-0648
Brian W Lee, M.D.
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Practice Location: N16w24131 Riverwood Dr, Waukesha, WI 53188
Phone: 262-696-0808    Fax: 262-696-0965
Jonathan Kapke, DO
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Practice Location: N16w24131 Riverwood Dr, Waukesha, WI 53188
Phone: 262-696-5690    
Dr. Muhammad T Akbar, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: N16w24131 Riverwood Dr, Waukesha, WI 53188
Phone: 262-693-0808    Fax: 262-696-0965

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.