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

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Andrea Jo Poulson-port, MD is a medicare enrolled "Family Medicine" physician in Manitowoc, Wisconsin. She went to Wayne State University School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Aamg Reach Pllc, Aurora Medical Group, Inc. and 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 NameAndrea Jo Poulson-port
GenderFemale
SpecialityFamily Practice
Experience15 Years
Location4100 Dewey St, Manitowoc, Wisconsin
Accepts Medicare AssignmentsYes. 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 Wayne State University School Of Medicine in 2009
  NPI Data:
  • NPI Number: 1326280611
  • Provider Enumeration Date: 04/01/2009
  • Last Update Date: 12/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8820247299
  • Enrollment ID: I20120927000853

Medical Identifiers

Medical identifiers for Andrea Jo Poulson-port such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326280611NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 56118-20 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora At HomeGreen bay, WIHome health agency
Sharon S Richardson Community HospiceSheboygan falls, WIHospice
Aurora Medical Ctr Manitowoc CountyTwo rivers, WIHospital
Holy Family MemorialManitowoc, WIHospital
Manitowoc Healthcare CenterManitowoc, WINursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aamg Reach Pllc559713326467
Aurora Medical Group, Inc.67097942583207

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 Jo Poulson-port allows following entities to bill medicare on her behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameAamg Reach Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609502707
PECOS PAC ID: 5597133264
Enrollment ID: O20221216002458

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 AddressPractice Location Address
Andrea Jo Poulson-port, MD
4100 Dewey St,
Manitowoc, WI 54220-5497

Ph: (920) 686-5700		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    
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

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.