Curtis Daniel Lockhart, MD is a medicare enrolled "Dermatology" physician in Oshkosh, Wisconsin. His current practice location is
2351 State Road 44, Oshkosh, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 651-8855.
Curtis Daniel Lockhart is licensed to practice in Wisconsin (license number 13012-320) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942761721.
Physician's Profile
| Full Name | Curtis Daniel Lockhart |
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| Gender | Male |
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| Speciality | Dermatology |
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| Location | 2351 State Road 44, Oshkosh, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1942761721
- Provider Enumeration Date: 03/26/2019
- Last Update Date: 02/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 6800129487
- Enrollment ID: I20250221002988
Medical Identifiers
Medical identifiers for Curtis Daniel Lockhart such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942761721 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 13012-320 (Wisconsin) | Secondary |
| 207N00000X | Dermatology | 13012-320 (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. Curtis Daniel Lockhart allows following entities to bill medicare on his behalf.
| Entity Name | Forefront Dermatology Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083768253
PECOS PAC ID: 3779471701
Enrollment ID: O20040310000252 |
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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. Curtis Daniel Lockhart 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 |
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Curtis Daniel Lockhart, MD
2500 Metrohealth Dr,
Cleveland, OH 44109-1900
Ph: () - | Curtis Daniel Lockhart, MD
2351 State Road 44,
Oshkosh, WI 54904-6333
Ph: (920) 651-8855 |
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