Andrea D Boeckman, MD - Medicare Obstetrics & Gynecology in Lake Geneva, WI

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Andrea D Boeckman, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Lake Geneva, Wisconsin. Her current practice location is N2950 State Road 67, Lake Geneva, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 245-0535.

Andrea D Boeckman is licensed to practice in Wisconsin (license number 49227) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194882514.

Contact Information

Andrea D Boeckman, MD
N2950 State Road 67,
Lake Geneva, WI 53147-2655
(262) 245-0535
(262) 245-2248

Map and Direction




Physician's Profile

Full NameAndrea D Boeckman
GenderFemale
SpecialityObstetrics & Gynecology
LocationN2950 State Road 67, Lake Geneva, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194882514
  • Provider Enumeration Date: 01/03/2007
  • Last Update Date: 11/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2365518073
  • Enrollment ID: I20080903000664

Medical Identifiers

Medical identifiers for Andrea D Boeckman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194882514NPI-NPPES
35343400MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 49227 (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. Andrea D Boeckman allows following entities to bill medicare on her behalf.
Entity NameAscension Medical Group-southeast Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421
Entity NameColumbia St Marys Hospital Milwaukee Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023064482
PECOS PAC ID: 5890604722
Enrollment ID: O20031105000057
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NamePrevea Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306869276
PECOS PAC ID: 0042123150
Enrollment ID: O20031106000034
Entity NameLakeshore Medical Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003861188
PECOS PAC ID: 7719890730
Enrollment ID: O20031106000481
Entity NameMercy Health System Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598718603
PECOS PAC ID: 7416860440
Enrollment ID: O20031113000164
Entity NameBeloit Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568677417
PECOS PAC ID: 8224947858
Enrollment ID: O20031215000424
Entity NameSt. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275799413
PECOS PAC ID: 8325931652
Enrollment ID: O20040202001172
Entity NameSt Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285613638
PECOS PAC ID: 5799694675
Enrollment ID: O20080620000423
Entity NameObhg Wisconsin Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699273862
PECOS PAC ID: 0840551750
Enrollment ID: O20180309000278

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. Andrea D Boeckman 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
Andrea D Boeckman, MD
3821 Spring Street,
Racine, WI 53405-1667

Ph: (262) 687-8460		Andrea D Boeckman, MD
N2950 State Road 67,
Lake Geneva, WI 53147-2655

Ph: (262) 245-0535

Reviews and Comments


Obstetrics & Gynecology Doctors in Lake Geneva, WI

Dr. Joy Zerrudo Seldera, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 146 E Geneva Square, Lake Geneva, WI 53147
Phone: 262-249-5000    Fax: 262-249-7142
Aaron Staley, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147
Phone: 262-249-5000    Fax: 262-249-7143
Dr. Mary Elizabeth Anderson, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: N2950 State Road 67, Lake Geneva, WI 53147
Phone: 262-245-4990    Fax: 262-245-2248
Dr. Susan M Hagnell, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 146 E Geneva Sq, Lake Geneva, WI 53147
Phone: 262-249-5005    Fax: 262-249-7142

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.