Thomas D Porter, NP in Union Grove, WI - Medicare Nurse Practitioner

Thomas D Porter, NP is a medicare enrolled "Nurse Practitioner" in Union Grove, Wisconsin. His current practice location is 4320 67th Dr, Union Grove, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 878-1211.

Thomas D Porter is licensed to practice in Wisconsin (license number 13227-033) 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 1528778321.

Contact Information

	Thomas D Porter, NP
	4320 67th Dr, Union Grove, WI 53182-9338
	(262) 878-1211
	Not Available

Map and Direction

Provider's Profile

Full Name	Thomas D Porter
Gender	Male
Speciality	Nurse Practitioner
Location	4320 67th Dr, Union Grove, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528778321
Provider Enumeration Date: 12/02/2022
Last Update Date: 04/27/2023

Medicare PECOS Information:

PECOS PAC ID: 9335518000
Enrollment ID: I20221220001687

Medical Identifiers

Medical identifiers for Thomas D Porter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528778321	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	13227-033 (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. Thomas D Porter allows following entities to bill medicare on his behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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. Thomas D Porter 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
Thomas D Porter, NP 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (262) 878-1211	Thomas D Porter, NP 4320 67th Dr, Union Grove, WI 53182-9338 Ph: (262) 878-1211

Reviews and Comments

Nurse Practitioner Nurses in Union Grove, WI

Mrs. Sarah Katherine Kordus, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21425 Spring St, Union Grove, WI 53182 Phone: 262-878-6742 Fax: 262-878-6746
Lorelei L Volstad, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21425 Spring St, Union Grove, WI 53182 Phone: 262-878-6746
Lana R. Buttke, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21425 Spring St, Union Grove, WI 53182 Phone: 262-878-7001 Fax: 262-878-7024
Dina M Twigg, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21425 Spring St, Union Grove, WI 53182 Phone: 262-878-7001 Fax: 262-878-7024
Jodene Strommen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1120 Main St, Union Grove, WI 53182 Phone: 262-878-4424
Miss Roxanne Roese, NURSEPRACTITIONER NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21425b Spring Street, Union Grove, WI 53182 Phone: 262-878-6532 Fax: 262-878-6570

Thomas D Porter, NP - Medicare Nurse Practitioner in Union Grove, WI