- Primary Care in Kewaskum, WI

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is a primary clinic (Family Medicine) in Kewaskum, Wisconsin. The current practice location for is 1701 Fond Du Lac Ave, Kewaskum, Wisconsin. For appointments, you can reach them via phone at (262) 626-4616. The mailing address for is 1700 W Paradise Dr, West Bend, Wisconsin and phone number is (262) 334-3451.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1518976919. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (262) 626-4616.

Contact Information

1701 Fond Du Lac Ave
Kewaskum
WI 53040-9129
(262) 626-4616
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityFamily Medicine
Location1701 Fond Du Lac Ave, Kewaskum, Wisconsin
Authorized Official Name and PositionGregory G Blommel (MEDICAL DIRECTOR)
Authorized Official Contact2623343451
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

1700 W Paradise Dr
West Bend
WI 53095-9795

Ph: (262) 334-3451
1701 Fond Du Lac Ave
Kewaskum
WI 53040-9129

Ph: (262) 626-4616

NPI Details:

NPI Number1518976919
Provider Enumeration Date08/05/2006
Last Update Date05/23/2012

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518976919NPI-NPPES
21251400MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
208000000XPediatrics (* (Not Available))Secondary
2085B0100XRadiology - Body Imaging (* (Not Available))Secondary
332B00000XDurable Medical Equipment & Medical Supplies (* (Not Available))Secondary

Reviews and Comments


Family Medicine in Kewaskum, WI


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.