Andrea Jo Poulson-port, MD in Manitowoc, WI

Andrea Jo Poulson-port, MD is a medicare enrolled "Family Medicine" physician in Manitowoc, Wisconsin. Her current practice location is 4100 Dewey St, Manitowoc, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 686-5700.

Andrea Jo Poulson-port is licensed to practice in Wisconsin (license number 56118-20) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326280611.

Contact Information

	Andrea Jo Poulson-port, MD
	4100 Dewey St, Manitowoc, WI 54220-5497
	(920) 686-5700
	Not Available

Map and Direction

Physician's Profile

Full Name	Andrea Jo Poulson-port
Gender	Female
Speciality
Experience	Years
Location	4100 Dewey St, Manitowoc, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Andrea Jo Poulson-port attended and graduated from in

NPI Data:

NPI Number: 1326280611
Provider Enumeration Date: 04/01/2009
Last Update Date: 09/24/2024

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Andrea Jo Poulson-port such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326280611	NPI	-	NPPES
100024879	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	56118-20 (Wisconsin)	Primary

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 Jo Poulson-port 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 Address	Practice Location Address
Andrea Jo Poulson-port, MD Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250	Andrea Jo Poulson-port, MD 4100 Dewey St, Manitowoc, WI 54220-5497 Ph: (920) 686-5700

Reviews and Comments

Family Medicine Doctors in Manitowoc, WI

Dr. Michael Herbert Hoffman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3415 Custer St, Suite D, Manitowoc, WI 54220 Phone: 920-652-9310
Michael P Tapscott, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4810 Expo Dr, Manitowoc, WI 54220 Phone: 920-717-0800
Bryan J Mulheron, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3509 Dewey St, Manitowoc, WI 54220 Phone: 920-686-5731
Laurence J Verlinden, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-4500 Fax: 920-682-9378
Patricia J Cantagallo, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 601 Reed Ave, Manitowoc, WI 54220 Phone: 920-682-8841
Gary A Schmidt, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1650 S 41st St, Manitowoc, WI 54220 Phone: 920-320-4500 Fax: 920-682-9378
Dr. Diane L Staudinger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3509 Dewey St, Manitowoc, WI 54220 Phone: 920-686-5731 Fax: 920-686-5726

Andrea Jo Poulson-port, MD - Medicare in Manitowoc, WI