Great Midwest Foot And Ankle Centers, S.c. is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Bayside, Wisconsin. Their current practice location is
320 W Brown Deer Rd, Bayside, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(414) 761-0981.
Great Midwest Foot And Ankle Centers, S.c. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Great Midwest Foot And Ankle Centers, S.c.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1396023198.
Healthcare Provider's Profile
| Full Name | Great Midwest Foot And Ankle Centers, S.c. |
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| Type | Facility |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 320 W Brown Deer Rd, Bayside, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1396023198
- Provider Enumeration Date: 07/27/2011
- Last Update Date: 01/16/2013
Medicare PECOS Information:
- PECOS PAC ID: 8820261696
- Enrollment ID: O20111024000667
Medical Identifiers
Medical identifiers for Great Midwest Foot And Ankle Centers, S.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396023198 | NPI | - | NPPES |
| 43237400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Great Midwest Foot And Ankle Centers, S.c. acts as a billing entity for following providers:
| Provider Name | Robert D Matteucci |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1164426763
PECOS PAC ID: 1355319484
Enrollment ID: I20040917000103 |
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| Provider Name | Tyler C Yapp |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1750644233
PECOS PAC ID: 4587973995
Enrollment ID: I20151027000473 |
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| Provider Name | Eric H Hillmann |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1013353762
PECOS PAC ID: 3577857382
Enrollment ID: I20160802001415 |
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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. Great Midwest Foot And Ankle Centers, S.c. 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 |
|---|
Great Midwest Foot And Ankle Centers, S.c.
8153 S 27th St, 400,
Franklin, WI 53132-9549
Ph: (414) 761-0981 | Great Midwest Foot And Ankle Centers, S.c.
320 W Brown Deer Rd,
Bayside, WI 53217-2319
Ph: (414) 761-0981 |
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