Dr Jeffrey Joseph Bongiorno, DPM is a medicare enrolled "Podiatrist" provider in Port Washington, Wisconsin. He went to William M. Scholl College Of Podiatric Medicine and graduated in 1996 and has 29 years of diverse experience with area of expertise as Podiatry. His current practice location is
1317 W Grand Ave, Port Washington, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 284-8800.
Dr Jeffrey Joseph Bongiorno is licensed to practice in Wisconsin (license number 798025) 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 1770599953.
Healthcare Provider's Profile
| Full Name | Dr Jeffrey Joseph Bongiorno |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 29 Years |
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| Location | 1317 W Grand Ave, Port Washington, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jeffrey Joseph Bongiorno attended and graduated from William M. Scholl College Of Podiatric Medicine in 1996
NPI Data:
- NPI Number: 1770599953
- Provider Enumeration Date: 07/31/2006
- Last Update Date: 11/19/2007
Medicare PECOS Information:
- PECOS PAC ID: 1759362759
- Enrollment ID: I20040528000686
Medical Identifiers
Medical identifiers for Dr Jeffrey Joseph Bongiorno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770599953 | NPI | - | NPPES |
| P00085509 | Other | | RR MCR |
| 41755100 | Medicaid | WI | |
| 43227800 | Medicaid | WI | |
| 4998210001 | Other | | DMERC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 798025 (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. Dr Jeffrey Joseph Bongiorno allows following entities to bill medicare on his behalf.
| Provider Name | Port Washington Podiatry Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1013953926
PECOS PAC ID: 0042291031
Enrollment ID: O20040526000541 |
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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. Dr Jeffrey Joseph Bongiorno 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 |
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Dr Jeffrey Joseph Bongiorno, DPM
2132 Willow Pond Way,
Grafton, WI 53024-9102
Ph: (262) 268-1789 | Dr Jeffrey Joseph Bongiorno, DPM
1317 W Grand Ave,
Port Washington, WI 53074-2075
Ph: (262) 284-8800 |
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