Michael R Magoline, MD - Medicare Orthopaedic Surgery in Fond Du Lac, WI

Michael R Magoline, MD is a medicare enrolled "Orthopaedic Surgery" physician in Fond Du Lac, Wisconsin. His current practice location is 421 Camelot Dr, Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 926-8616.

Michael R Magoline is licensed to practice in Wisconsin (license number 82106-20) 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 1154412302.

Contact Information

Michael R Magoline, MD
421 Camelot Dr,
Fond Du Lac, WI 54935-8335
(920) 926-8616
(920) 926-8098



Physician's Profile

Full NameMichael R Magoline
GenderMale
SpecialityOrthopaedic Surgery
Location421 Camelot Dr, Fond Du Lac, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154412302
  • Provider Enumeration Date: 09/27/2006
  • Last Update Date: 07/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4385538131
  • Enrollment ID: I20040626000416

Medical Identifiers

Medical identifiers for Michael R Magoline such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154412302NPI-NPPES
2187002MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 35-071501 (Ohio)Secondary
207X00000XOrthopaedic Surgery 82106-20 (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. Michael R Magoline allows following entities to bill medicare on his behalf.
Entity NameMichael R Magoline Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063146272
PECOS PAC ID: 0345134219
Enrollment ID: O20221020001817

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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. Michael R Magoline 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 AddressPractice Location Address
Michael R Magoline, MD
1808 W Beltline Hwy, Ssm Health Fdlregional Clinic Attn: Nancy Pierce,
Madison, WI 53713-2334

Ph: (920) 926-8343
Michael R Magoline, MD
421 Camelot Dr,
Fond Du Lac, WI 54935-8335

Ph: (920) 926-8616

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Orthopaedic Surgery Doctors in Fond Du Lac, WI

Alan W Roetker, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935
Phone: 920-926-8616    
Benjamin Richard Wiseley, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935
Phone: 920-926-8616    
Glen J Kemp Jr., MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935
Phone: 920-926-8616    Fax: 920-926-8098
Karl Pennau, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935
Phone: 920-926-8616    
Michael D Mannebach, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935
Phone: 920-926-8616    
Dr. Clark Pomeroy Searle Iii, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935
Phone: 920-926-8616    

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