Dr Jeffrey Joseph Bongiorno, DPM - Medicare Podiatrist in Port Washington, WI

Dr Jeffrey Joseph Bongiorno, DPM is a medicare enrolled "Podiatrist" provider in Port Washington, Wisconsin. He went to William M. Scholl College Of Podiatric Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Podiatry. His current practice location is 1317 W Grand Ave, Port Washington, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 284-8800.

Dr Jeffrey Joseph Bongiorno is licensed to practice in Wisconsin (license number 798025) 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 1770599953.

Contact Information

Dr Jeffrey Joseph Bongiorno, DPM
1317 W Grand Ave,
Port Washington, WI 53074-2075
(262) 284-8800
(262) 284-8861



Healthcare Provider's Profile

Full NameDr Jeffrey Joseph Bongiorno
GenderMale
SpecialityPodiatry
Experience28 Years
Location1317 W Grand Ave, Port Washington, 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:
  • Dr Jeffrey Joseph Bongiorno attended and graduated from William M. Scholl College Of Podiatric Medicine in 1996
  NPI Data:
  • NPI Number: 1770599953
  • Provider Enumeration Date: 07/31/2006
  • Last Update Date: 11/19/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1759362759
  • Enrollment ID: I20040528000686

Medical Identifiers

Medical identifiers for Dr Jeffrey Joseph Bongiorno such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770599953NPI-NPPES
P00085509OtherRR MCR
41755100MedicaidWI
43227800MedicaidWI
4998210001OtherDMERC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 798025 (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 Jeffrey Joseph Bongiorno allows following entities to bill medicare on his behalf.
Provider NamePort Washington Podiatry Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1013953926
PECOS PAC ID: 0042291031
Enrollment ID: O20040526000541

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Medicare Part D Prescriber Enrollment

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Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jeffrey Joseph Bongiorno, DPM
2132 Willow Pond Way,
Grafton, WI 53024-9102

Ph: (262) 268-1789
Dr Jeffrey Joseph Bongiorno, DPM
1317 W Grand Ave,
Port Washington, WI 53074-2075

Ph: (262) 284-8800

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Podiatrist in Port Washington, WI

Port Washington Podiatry Inc
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 1317 W Grand Avenue, Port Washington Podiatry, Port Washington, WI 53074
Phone: 262-284-8800    Fax: 262-284-8861

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