Great Midwest Foot And Ankle Centers, S.c. - Medicare Podiatrist in Bayside, WI

Great Midwest Foot And Ankle Centers, S.c. is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Bayside, Wisconsin. Their current practice location is 320 W Brown Deer Rd, Bayside, Wisconsin. You can reach out to their office (for appointments etc.) via phone at (414) 761-0981.

Great Midwest Foot And Ankle Centers, S.c. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Great Midwest Foot And Ankle Centers, S.c. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1396023198.

Contact Information

Great Midwest Foot And Ankle Centers, S.c.
320 W Brown Deer Rd,
Bayside, WI 53217-2319
(414) 761-0981
(414) 761-1614



Healthcare Provider's Profile

Full NameGreat Midwest Foot And Ankle Centers, S.c.
TypeFacility
SpecialityPodiatrist - Foot & Ankle Surgery
Location320 W Brown Deer Rd, Bayside, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396023198
  • Provider Enumeration Date: 07/27/2011
  • Last Update Date: 01/16/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 8820261696
  • Enrollment ID: O20111024000667

Medical Identifiers

Medical identifiers for Great Midwest Foot And Ankle Centers, S.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396023198NPI-NPPES
43237400MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Great Midwest Foot And Ankle Centers, S.c. acts as a billing entity for following providers:
Provider NameRobert D Matteucci
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1164426763
PECOS PAC ID: 1355319484
Enrollment ID: I20040917000103

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Provider NameTyler C Yapp
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1750644233
PECOS PAC ID: 4587973995
Enrollment ID: I20151027000473

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Provider NameEric H Hillmann
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1013353762
PECOS PAC ID: 3577857382
Enrollment ID: I20160802001415

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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. Great Midwest Foot And Ankle Centers, S.c. 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
Great Midwest Foot And Ankle Centers, S.c.
8153 S 27th St, 400,
Franklin, WI 53132-9549

Ph: (414) 761-0981
Great Midwest Foot And Ankle Centers, S.c.
320 W Brown Deer Rd,
Bayside, WI 53217-2319

Ph: (414) 761-0981

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Podiatrist in Bayside, WI


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