Daniel D Medlock, APNP - Medicare Nurse Practitioner in Racine, WI

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Daniel D Medlock, APNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Racine, Wisconsin. His current practice location is 1320 Wisconsin Ave, Racine, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 687-2956.

Daniel D Medlock is licensed to practice in Wisconsin (license number 9750) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639439433.

Contact Information

Daniel D Medlock, APNP
1320 Wisconsin Ave,
Racine, WI 53403-1978
(262) 687-2956
(262) 687-2014

Map and Direction




Provider's Profile

Full NameDaniel D Medlock
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1320 Wisconsin Ave, Racine, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639439433
  • Provider Enumeration Date: 05/25/2012
  • Last Update Date: 01/24/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5395178453
  • Enrollment ID: I20191203001425

Medical Identifiers

Medical identifiers for Daniel D Medlock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639439433NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 9750 (Wisconsin)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 9750 (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. Daniel D Medlock allows following entities to bill medicare on his behalf.
Entity NameAscension Medical Group-southeast Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameCornerstone Counseling Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033127246
PECOS PAC ID: 1456256023
Enrollment ID: O20031205000446

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. Daniel D Medlock 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
Daniel D Medlock, APNP
1320 Wisconsin Ave,
Racine, WI 53403-1978

Ph: (262) 687-2956		Daniel D Medlock, APNP
1320 Wisconsin Ave,
Racine, WI 53403-1978

Ph: (262) 687-2956

Reviews and Comments


Nurse Practitioner Nurses in Racine, WI

Erin Elizabeth Scheffer, NP-C
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Practice Location: 3 Birchwood Ct, Racine, WI 53402
Phone: 417-763-5225    
Matthew Anthony Hettenbach, PMHNP
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Practice Location: 1244 Wisconsin Ave, Racine, WI 53403
Phone: 262-687-2956    
Mrs. Sharon L Gorsegner, WHNP
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Medicare: Not Enrolled in Medicare
Practice Location: 834 Main St, Racine, WI 53403
Phone: 262-634-2060    Fax: 262-634-7173
Mary C. Manning, N.P.
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Practice Location: 1320 Wisconsin Ave, Racine, WI 53403
Phone: 262-687-2363    
Janet E. Kieslich, N.P.
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Medicare: Medicare Enrolled
Practice Location: 3805a Spring St Ste 330, Racine, WI 53405
Phone: 262-687-8640    Fax: 262-687-8641
Judith A. Bagley, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 Main St, Racine, WI 53403
Phone: 262-687-6100    Fax: 262-687-2727
Ms. Jennifer L Boerger, FNP APNP
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Medicare: Not Enrolled in Medicare
Practice Location: 8348 Washington Ave, Racine, WI 53406
Phone: 262-884-4098    Fax: 262-884-4177

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.