Reid A Sousek, MD - Medicare Family Practice in Appleton, WI

Reid A Sousek, MD is a medicare enrolled "Family Medicine" physician in Appleton, Wisconsin. He went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Ascension Medical Group-fox Valley Wisconsin Inc, Emergency Medicine Specialists Sc and his current practice location is 3329 N Richmond St, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 380-2720.

Reid A Sousek is licensed to practice in Wisconsin (license number 48401) 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 1275501041.

Contact Information

Reid A Sousek, MD
3329 N Richmond St,
Appleton, WI 54911-1063
(920) 380-2720
Not Available

Map and Direction




Physician's Profile

Full NameReid A Sousek
GenderMale
SpecialityFamily Practice
Experience20 Years
Location3329 N Richmond St, Appleton, 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:
  • Reid A Sousek attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1275501041
  • Provider Enumeration Date: 03/09/2006
  • Last Update Date: 08/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0749295293
  • Enrollment ID: I20060220000574

Medical Identifiers

Medical identifiers for Reid A Sousek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275501041NPI-NPPES
34818800MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 48401 (Wisconsin)Secondary
2083X0100XPreventive Medicine - Occupational Medicine 48401 (Wisconsin)Secondary
207Q00000XFamily Medicine 48401 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ascension Medical Group-fox Valley Wisconsin Inc0244142420240
Emergency Medicine Specialists Sc8729975461216

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. Reid A Sousek allows following entities to bill medicare on his behalf.
Entity NameAscension Medical Group-fox Valley Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730126392
PECOS PAC ID: 0244142420
Enrollment ID: O20031105000351
Entity NameEmergency Medicine Specialists Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568413524
PECOS PAC ID: 8729975461
Enrollment ID: O20040228000032

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. Reid A Sousek 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
Reid A Sousek, MD
3329 N Richmond St,
Appleton, WI 54911-1063

Ph: (920) 380-2720
Reid A Sousek, MD
3329 N Richmond St,
Appleton, WI 54911-1063

Ph: (920) 380-2720

Reviews and Comments


Family Medicine Doctors in Appleton, WI

Michael John Van Abel, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3916 N Intertech Ct, Appleton, WI 54913
Phone: 920-996-1000    
Stephen C Fuller, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3916 N Intertech Ct, Appleton, WI 54913
Phone: 920-996-1000    
Samuel James Heiks, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3916 N Intertech Ct, Appleton, WI 54913
Phone: 920-996-1000    Fax: 920-996-1054
Brittany E Goodrich-braun,
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 3925 N Gateway Dr, Appleton, WI 54913
Phone: 920-830-6877    
Dirk Jon Derksen, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 10 Wagon Wheel Dr, Appleton, WI 54913
Phone: 920-731-6374    
Ms. Cynthia Frances Susedik, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3925 N Gateway Dr, Appleton, WI 54913
Phone: 920-830-6877    Fax: 920-993-5037
N Carter Noble, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3329 N Richmond St, Appleton, WI 54911
Phone: 920-380-2715    

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.