Rebecca Ann Mahoney, DO is a medicare enrolled "Otolaryngology" physician in Summit, Wisconsin. Her current practice location is
36500 Aurora Dr, Summit, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 434-1000.
Rebecca Ann Mahoney is licensed to practice in Wisconsin (license number 81599) 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 1205490562.
Physician's Profile
Full Name | Rebecca Ann Mahoney |
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Gender | Female |
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Speciality | Otolaryngology |
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Location | 36500 Aurora Dr, Summit, 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: 1205490562
- Provider Enumeration Date: 04/23/2019
- Last Update Date: 11/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 2668706771
- Enrollment ID: I20190624002330
Medical Identifiers
Medical identifiers for Rebecca Ann Mahoney such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205490562 | NPI | - | NPPES |
100283972 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | 81599 (Wisconsin) | Primary |
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. Rebecca Ann Mahoney 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 |
Rebecca Ann Mahoney, DO Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Rebecca Ann Mahoney, DO 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 434-1000 |
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