Dr Matthew D Doll, PHD in Fond Du Lac, WI - Medicare Psychologist Provider

Dr Matthew D Doll, PHD is a medicare enrolled "Psychologist - Clinical" provider in Fond Du Lac, Wisconsin. His current practice location is 40 Camelot Dr, Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 907-8201.

Dr Matthew D Doll is licensed to practice in Wisconsin (license number 1691-057) 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 1548390560.

Contact Information

	Dr Matthew D Doll, PHD
	40 Camelot Dr, Fond Du Lac, WI 54935-8049
	(920) 907-8201
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Matthew D Doll
Gender	Male
Speciality	Psychologist - Clinical
Location	40 Camelot Dr, Fond Du Lac, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548390560
Provider Enumeration Date: 03/07/2007
Last Update Date: 12/23/2020

Medicare PECOS Information:

PECOS PAC ID: 6608975123
Enrollment ID: I20200310002130

Medical Identifiers

Medical identifiers for Dr Matthew D Doll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548390560	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	1691-057 (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 Matthew D Doll allows following entities to bill medicare on his behalf.

Entity Name	Agnesian Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263

Entity Name	Froedtert Manitowoc Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437829975 PECOS PAC ID: 2365836954 Enrollment ID: O20220224001282

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 Matthew D Doll 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
Dr Matthew D Doll, PHD 295 Sheboygan St, Fond Du Lac, WI 54935-4364 Ph: (920) 923-0082	Dr Matthew D Doll, PHD 40 Camelot Dr, Fond Du Lac, WI 54935-8049 Ph: (920) 907-8201

Reviews and Comments

Psychologist in Fond Du Lac, WI

Dr. Espen Klausen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3529
Dr. Domenick Tirabassi Iv, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8492 Fax: 920-926-8903
Nancy L Goranson, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4200 Fax: 920-926-8885
Joseph Haney, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 459 E 1st St, Fond Du Lac, WI 54935 Phone: 920-929-3527
Dr. Teri L. Kaczmarek, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54937 Phone: 920-907-7000
Clare Lawlor, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 847-331-2227 Fax: 920-926-8933
Troy William Sheide, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 498 Ruggles St, Fond Du Lac, WI 54935 Phone: 801-703-6192

Dr Matthew D Doll, PHD - Medicare Psychologist in Fond Du Lac, WI