Seth D Udlis, MD in Fond Du Lac, WI - Medicare Family Practice

Seth D Udlis, MD is a medicare enrolled "Family Medicine" physician in Fond Du Lac, Wisconsin. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Agnesian Healthcare Inc and his current practice location is 912 S Hickory St, Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 929-7490.

Seth D Udlis is licensed to practice in Wisconsin (license number 36396) 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 1891896445.

Contact Information

	Seth D Udlis, MD
	912 S Hickory St, Fond Du Lac, WI 54935-5530
	(920) 929-7490
	Not Available

Map and Direction

Physician's Profile

Full Name	Seth D Udlis
Gender	Male
Speciality	Family Practice
Experience	34 Years
Location	912 S Hickory St, Fond Du Lac, 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:

Seth D Udlis graduated from medical school in 1990

NPI Data:

NPI Number: 1891896445
Provider Enumeration Date: 09/26/2006
Last Update Date: 02/03/2021

Medicare PECOS Information:

PECOS PAC ID: 2961454004
Enrollment ID: I20050216000724

Medical Identifiers

Medical identifiers for Seth D Udlis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891896445	NPI	-	NPPES
32618400	Medicaid	WI
P00709483	Other	WI	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	36396 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Agnes Hsptl Hospice Hope	Fond du lac, WI	Hospice
St Agnes Hospital	Fond du lac, WI	Hospital
Ripon Medical Center	Ripon, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Agnesian Healthcare Inc	1658289624	335

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. Seth D Udlis allows following entities to bill medicare on his behalf.

Entity Name	Agnesian Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263

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. Seth D Udlis 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
Seth D Udlis, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340	Seth D Udlis, MD 912 S Hickory St, Fond Du Lac, WI 54935-5530 Ph: (920) 929-7490

Reviews and Comments

Family Medicine Doctors in Fond Du Lac, WI

Lynda J Kasper, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8200
Heather Pearson Schmidt, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8500 Fax: 920-926-8983
Gina M Everson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8200
William J Brusky, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 145 N Main St, Fond Du Lac, WI 54935 Phone: 920-926-8492
Marcie Ann Janz, APNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 481 E Division St, Suite 100, Fond Du Lac, WI 54935 Phone: 920-929-8120 Fax: 920-929-8126
Gay D Trepanier, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 481 E Division St, Suite 100, Fond Du Lac, WI 54935 Phone: 920-929-8120 Fax: 920-929-8126
Dr. Kevin Andrew Jessen, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 912 S Hickory St, Fond Du Lac, WI 54935 Phone: 920-929-7490 Fax: 920-929-7470

Seth D Udlis, MD - Medicare Family Practice in Fond Du Lac, WI