Mr Douglas William Mielke, MD - Medicare Interventional Cardiology in Appleton, WI

Mr Douglas William Mielke, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Appleton, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Ascension Medical Group-fox Valley Wisconsin Inc and his current practice location is 5045 W Grande Market Dr, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 886-9380.

Mr Douglas William Mielke is licensed to practice in Wisconsin (license number 35277-020) 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 1104878149.

Contact Information

Mr Douglas William Mielke, MD
5045 W Grande Market Dr,
Appleton, WI 54913-8517
(920) 886-9380
(920) 886-9381



Physician's Profile

Full NameMr Douglas William Mielke
GenderMale
SpecialityInterventional Cardiology
Experience37 Years
Location5045 W Grande Market Dr, Appleton, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Douglas William Mielke attended and graduated from University Of Wisconsin School Of Medicine in 1987
  NPI Data:
  • NPI Number: 1104878149
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 03/26/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9436062445
  • Enrollment ID: I20050222000448

Medical Identifiers

Medical identifiers for Mr Douglas William Mielke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104878149NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 35277-020 (Wisconsin)Secondary
207RC0000XInternal Medicine - Cardiovascular Disease 35277-020 (Wisconsin)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 35277-020 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WIHospital
Thedacare Regional Med Ctr - NeenahNeenah, WIHospital
Thedacare Regional Medical Center - Appleton IncAppleton, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ascension Medical Group-fox Valley Wisconsin Inc0244142420258

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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. Mr Douglas William Mielke allows following entities to bill medicare on his behalf.
Entity NameAscension Medical Group-fox Valley Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730126392
PECOS PAC ID: 0244142420
Enrollment ID: O20031105000351

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Entity NameAscension Calumet Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376541748
PECOS PAC ID: 7416948427
Enrollment ID: O20040809000191

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Entity NameHeart And Vascular Of Wisconsin Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053884478
PECOS PAC ID: 8022358217
Enrollment ID: O20190326001895

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Entity NameAscension Medical Group-fox Valley Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831890177
PECOS PAC ID: 0244142420
Enrollment ID: O20230706002797

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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. Mr Douglas William Mielke 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
Mr Douglas William Mielke, MD
Bin 88040,
Milwaukee, WI 53288-0040

Ph: (920) 886-9380
Mr Douglas William Mielke, MD
5045 W Grande Market Dr,
Appleton, WI 54913-8517

Ph: (920) 886-9380

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Internal Medicine Doctors in Appleton, WI

Daniela C Constantinescu, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1501 S Madison St, Appleton, WI 54915
Phone: 920-730-4414    
Dirk Steinert, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3925 N Gateway Dr, Appleton, WI 54913
Phone: 920-830-6877    Fax: 920-993-5037
Mrs. Shannon Leah Schmidt,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 E Capitol Dr, Appleton, WI 54911
Phone: 920-364-3600    Fax: 920-364-3900
Dr. Sanjeevkumar Ashok Patel, M.D
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 E Capitol Dr Ste 1700, Appleton, WI 54911
Phone: 920-734-4773    
Gail Mary Mcnutt, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 10 Tri Park Way, Appleton, WI 54914
Phone: 920-831-0070    Fax: 920-831-7936
Dong Bo Yu,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-731-8900    Fax: 920-225-1414
Deborah A Ihde, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2500 E Capitol Dr, Appleton, WI 54911
Phone: 920-731-5811    Fax: 920-738-6293

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