Colin David Kavanaugh, MD - Medicare Family Practice in Belleville, WI

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Colin David Kavanaugh, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Belleville, Wisconsin. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2021 and has 5 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Prairie Ridge Health Inc and his current practice location is 1121 Bellwest Blvd, Belleville, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 424-3384.

Colin David Kavanaugh is licensed to practice in * (Not Available) (license number ) 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 1841871241.

Contact Information

Colin David Kavanaugh, MD
1121 Bellwest Blvd,
Belleville, WI 53508-9433
(608) 424-3384
(608) 424-6353

Map and Direction




Physician's Profile

Full NameColin David Kavanaugh
GenderMale
SpecialityFamily Practice
Experience5 Years
Location1121 Bellwest Blvd, Belleville, 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:
  • Colin David Kavanaugh attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2021
  NPI Data:
  • NPI Number: 1841871241
  • Provider Enumeration Date: 04/16/2021
  • Last Update Date: 03/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3577964543
  • Enrollment ID: I20230329000370

Medical Identifiers

Medical identifiers for Colin David Kavanaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841871241NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 77586 (Wisconsin)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Columbus Community HospitalColumbus, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prairie Ridge Health Inc680079148458

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. Colin David Kavanaugh allows following entities to bill medicare on his behalf.
Entity NameThe Monroe Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386720548
PECOS PAC ID: 3072425495
Enrollment ID: O20031104000392
Entity NamePrairie Ridge Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154403657
PECOS PAC ID: 6800791484
Enrollment ID: O20040210000777

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. Colin David Kavanaugh 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
Colin David Kavanaugh, MD
1121 Bellwest Blvd,
Belleville, WI 53508-9433

Ph: (608) 424-3384		Colin David Kavanaugh, MD
1121 Bellwest Blvd,
Belleville, WI 53508-9433

Ph: (608) 424-3384

Reviews and Comments



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.